Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,557.09 / $1,557.09 / $1,557.09	Facility		$1,557.09	$1,557.09	$1,557.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,557.09 / $1,557.09 / $21,537.01	Professional		$1,557.09	$1,557.09	$21,537.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $113.63	Facility		$100.00	$100.00	$113.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $650.00 / $3,400.00 / $3,400.00	Professional		$650.00	$3,400.00	$3,400.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,567.44 / $8,408.27 / $16,816.54	Professional		$7,567.44	$8,408.27	$16,816.54
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