Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.20 / $10,122.46 / $27,982.24	Facility		$805.20	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.20 / $805.20 / $805.20	Professional		$805.20	$805.20	$805.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $111.27 / $1,347.62	Professional		$40.00	$111.27	$1,347.62
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
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,323.00 / $5,793.00	Facility		$702.00	$1,323.00	$5,793.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.22 / $86.22 / $86.22	Professional		$86.22	$86.22	$86.22