Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13,531.66 / $13,531.66 / $16,247.00	Professional		$13,531.66	$13,531.66	$16,247.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $468.48	Facility		$100.00	$100.00	$468.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6,638.55 / $6,638.55 / $55,189.44	Professional		$6,638.55	$6,638.55	$55,189.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,619.91 / $11,619.91 / $11,619.91	Facility		$11,619.91	$11,619.91	$11,619.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,876.92 / $9,876.92 / $11,619.91	Professional		$9,876.92	$9,876.92	$11,619.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $76.50 / $93.50	Professional		$60.00	$76.50	$93.50
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