Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $5.45 / $12.37	Facility		$5.45	$5.45	$12.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $5.45 / $12.92	Professional		$5.45	$5.45	$12.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $8.00 / $75.00	Professional		$1.34	$8.00	$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 $0.68 / $0.68 / $0.68	Professional		$0.68	$0.68	$0.68