Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $23.50 / $110.00	Professional		$11.50	$23.50	$110.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $10,994.50 / $64,999.35	Professional		$30.82	$10,994.50	$64,999.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $25.23 / $63.59 / $115.47	Facility		$25.23	$63.59	$115.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $57.00 / $72.00	Facility		$45.00	$57.00	$72.00