Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.50 / $826.50 / $826.50	Facility		$826.50	$826.50	$826.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $826.50 / $826.50 / $826.50	Professional		$826.50	$826.50	$826.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $100.00	Professional		$25.00	$25.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
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
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00