Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $15.40 / $15.40	Professional		$15.40	$15.40	$15.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16.63 / $100.00 / $100.00	Facility		$16.63	$100.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.86 / $18.48 / $24.60	Professional		$13.86	$18.48	$24.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$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