Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.77 / $13.77 / $32.40	Facility		$13.77	$13.77	$32.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $13.45 / $13.93	Professional		$12.96	$13.45	$13.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $21.91 / $70.81	Professional		$13.60	$21.91	$70.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $13.25 / $53.00	Facility		$13.25	$13.25	$53.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $16.25	Professional		$13.25	$13.25	$16.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $50.00 / $75.00	Professional		$13.25	$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 $13.25 / $13.25 / $15.90	Professional		$13.25	$13.25	$15.90