Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.49 / $14.49 / $14.49	Facility		$14.49	$14.49	$14.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $14.49 / $14.49	Professional		$13.64	$14.49	$14.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $90.00 / $100.00	Facility		$85.00	$90.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $63.52 / $64.31	Professional		$17.05	$63.52	$64.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $17.05 / $34.10	Facility		$17.05	$17.05	$34.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $20.91	Professional		$17.05	$17.05	$20.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.62 / $79,999.20 / $79,999.20	Facility		$27.62	$79,999.20	$79,999.20
United Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $20.46	Professional		$17.05	$17.05	$20.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $17.05	Professional		$17.05	$17.05	$17.05