Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $21.27 / $21.27	Facility		$21.27	$21.27	$21.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $21.27 / $21.27	Professional		$20.02	$21.27	$21.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $93.83 / $100.00	Facility		$85.00	$93.83	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $95.08 / $100.08	Professional		$21.27	$95.08	$100.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $21.27 / $42.54	Facility		$21.27	$21.27	$42.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $21.27	Professional		$21.27	$21.27	$21.27
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 $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
United Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $21.48 / $21.48	Facility		$21.48	$21.48	$21.48
United Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $25.78	Professional		$21.48	$21.48	$25.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $21.27	Professional		$21.27	$21.27	$21.27