Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,500.00	Professional		$30.00	$30.00	$1,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $385.27 / $1,518.43 / $1,518.43	Professional		$385.27	$1,518.43	$1,518.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $49.50 / $50.00	Professional		$49.50	$49.50	$50.00
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