Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,064.40 / $6,470.00 / $22,024.00	Facility		$2,064.40	$6,470.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.00 / $1,002.17 / $3,781.00	Professional		$526.00	$1,002.17	$3,781.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $170.01 / $247.29 / $278.20	Professional		$170.01	$247.29	$278.20
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