Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.68 / $369.68 / $369.68	Facility		$369.68	$369.68	$369.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.68 / $369.68 / $442.97	Professional		$369.68	$369.68	$442.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $3,640.00 / $5,341.00	Professional		$128.69	$3,640.00	$5,341.00
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 $378.00 / $378.00 / $378.00	Professional		$378.00	$378.00	$378.00