Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.94 / $254.94 / $578.71	Facility		$254.94	$254.94	$578.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $254.94 / $604.21	Professional		$17.60	$254.94	$604.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $75.00 / $496.35	Professional		$10.70	$75.00	$496.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$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 $18.76 / $18.76 / $18.76	Professional		$18.76	$18.76	$18.76