Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.22 / $2.22 / $2.22	Facility		$2.22	$2.22	$2.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.22 / $39.94	Professional		$2.22	$2.22	$39.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $52.92 / $52.92 / $52.92	Professional		$52.92	$52.92	$52.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $28.10 / $28.10	Professional		$28.10	$28.10	$28.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
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