Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $9.63 / $15.40	Facility		$9.63	$9.63	$15.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $9.63 / $38.40	Professional		$9.44	$9.63	$38.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $31.35 / $100.00	Professional		$10.30	$31.35	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.01 / $14.01 / $17.62	Professional		$14.01	$14.01	$17.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $12.42 / $24.15	Professional		$5.04	$12.42	$24.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.59 / $49.32 / $49.32	Facility		$29.59	$49.32	$49.32
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.30	Professional		$10.00	$10.00	$10.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $1.08 / $1.08	Professional		$1.08	$1.08	$1.08