Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $74.70 / $92.09	Facility		$50.50	$74.70	$92.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $50.50 / $92.09	Professional		$38.00	$50.50	$92.09
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $225.28 / $225.28 / $480.00	Professional		$225.28	$225.28	$480.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $75.00 / $85.00	Professional		$49.50	$75.00	$85.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.50 / $52.00 / $69.00	Facility		$42.50	$52.00	$69.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $62.00 / $89.00	Professional		$45.00	$62.00	$89.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $17.23 / $17.23	Professional		$17.23	$17.23	$17.23