Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.91 / $134.78 / $184.65	Facility		$77.91	$134.78	$184.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $77.91 / $150.00	Professional		$77.91	$77.91	$150.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $388.00 / $400.00	Professional		$360.00	$388.00	$400.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $65.00	Professional		$45.00	$50.00	$65.00
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