Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.80 / $261.80 / $261.80	Facility		$261.80	$261.80	$261.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.80 / $261.80 / $4,923.67	Professional		$261.80	$261.80	$4,923.67
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $41.25 / $4,735.35	Professional		$25.00	$41.25	$4,735.35
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