Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,932.50 / $6,932.50 / $6,932.50	Professional		$6,932.50	$6,932.50	$6,932.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $207.90	Facility		$100.00	$100.00	$207.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,729.82 / $8,068.53 / $68,364.46	Professional		$4,729.82	$8,068.53	$68,364.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,956.00 / $16,956.00 / $16,956.00	Professional		$16,956.00	$16,956.00	$16,956.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $45.00 / $50.00	Professional		$40.00	$45.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20