Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.75 / $237.75 / $237.75	Facility		$237.75	$237.75	$237.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.95 / $237.75 / $447.24	Professional		$117.95	$237.75	$447.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $27.73 / $75.00	Professional		$18.91	$27.73	$75.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$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 $19.87 / $19.87 / $19.87	Professional		$19.87	$19.87	$19.87