Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $8.63	Facility		$3.80	$3.80	$8.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $9.01	Professional		$3.80	$3.80	$9.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $30.00 / $49.50	Professional		$8.00	$30.00	$49.50
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 $15.01 / $15.01 / $15.01	Professional		$15.01	$15.01	$15.01