Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $28.52 / $64.73	Facility		$28.52	$28.52	$64.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $28.52 / $41.51	Professional		$11.68	$28.52	$41.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $15.30 / $75.00	Professional		$3.01	$15.30	$75.00
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 $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00