Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $101.20 / $101.20 / $101.20	Facility		$101.20	$101.20	$101.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $69.70 / $101.20	Professional		$45.25	$69.70	$101.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $45.00 / $50.00	Professional		$40.00	$45.00	$50.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00