Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.56 / $233.56 / $233.56	Facility		$233.56	$233.56	$233.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.56 / $233.56 / $2,006.33	Professional		$233.56	$233.56	$2,006.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,853.40	Facility		$100.00	$100.00	$2,853.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,536.35 / $2,536.35 / $2,536.35	Professional		$2,536.35	$2,536.35	$2,536.35
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