Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.05 / $1.82 / $2.49	Facility		$1.05	$1.82	$2.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $1.05 / $1.05	Professional		$0.90	$1.05	$1.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $84.15 / $84.15 / $84.15	Professional		$84.15	$84.15	$84.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.68 / $154.68 / $154.68	Professional		$154.68	$154.68	$154.68
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
United Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $109.00 / $109.00	Professional		$65.40	$109.00	$109.00