Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.14 / $5.14 / $11.67	Facility		$5.14	$5.14	$11.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $5.14 / $5.14	Professional		$4.40	$5.14	$5.14
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $5.79 / $40.00	Professional		$4.76	$5.79	$40.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $75.00	Professional		$30.00	$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
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00