Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.54 / $906.54 / $906.54	Professional		$906.54	$906.54	$906.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $50.00 / $456.27	Professional		$10.00	$50.00	$456.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.32 / $510.39 / $611.51	Professional		$486.32	$510.39	$611.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $75.00	Professional		$30.00	$50.00	$75.00
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
United Facility/Professional Professional Modifier Low / Median / High Price $172.73 / $224.52 / $408.23	Professional		$172.73	$224.52	$408.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $367.06 / $367.06	Professional		$10.00	$367.06	$367.06