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 $75.00 / $93.94 / $157.50	Professional		$75.00	$93.94	$157.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.04 / $60.00 / $75.00	Professional		$27.04	$60.00	$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