Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.30 / $22.50 / $33.75	Facility		$13.30	$22.50	$33.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $15.97 / $42.50	Professional		$12.00	$15.97	$42.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $100.00 / $100.00	Facility		$90.00	$100.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $23.74 / $64,999.35	Professional		$7.00	$23.74	$64,999.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $8.96 / $8.96	Professional		$8.96	$8.96	$8.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $100.00	Professional		$50.00	$50.00	$100.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $64.75 / $79,999.20	Facility		$64.75	$64.75	$79,999.20
United Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $30.38 / $30.38	Professional		$30.38	$30.38	$30.38