Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $18.05 / $40.97	Facility		$18.05	$18.05	$40.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $42.78	Professional		$18.05	$18.05	$42.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $35.00 / $75.00	Professional		$17.51	$35.00	$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 $17.51 / $17.51 / $17.51	Professional		$17.51	$17.51	$17.51