Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,657.68 / $2,657.68 / $2,657.68	Facility		$2,657.68	$2,657.68	$2,657.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $100.00 / $100.00	Facility		$15.36	$100.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $51.20 / $75.00	Professional		$38.40	$51.20	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $220.10 / $220.10	Professional		$220.10	$220.10	$220.10
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 $1,190.48 / $1,190.48 / $1,190.48	Facility		$1,190.48	$1,190.48	$1,190.48
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,190.48 / $1,190.48 / $1,190.48	Professional		$1,190.48	$1,190.48	$1,190.48