Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $11.35	Facility		$5.00	$5.00	$11.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $40.00 / $45.50	Professional		$5.29	$40.00	$45.50
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 $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00