Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $2.86 / $97.15	Facility		$1.26	$2.86	$97.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $2.18	Professional		$1.26	$1.26	$2.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $100.00 / $100.00	Facility		$90.00	$100.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $77.70 / $77.70	Professional		$28.83	$77.70	$77.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $952.38 / $952.38 / $79,999.20	Facility		$952.38	$952.38	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $952.38 / $952.38 / $952.38	Professional		$952.38	$952.38	$952.38