Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.00 / $18.16	Facility		$8.00	$8.00	$18.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Professional		$8.00	$8.00	$8.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $14.50 / $103.04	Professional		$4.73	$14.50	$103.04
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 $4.73 / $4.73 / $4.73	Professional		$4.73	$4.73	$4.73