Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $2.75 / $6.48	Facility		$2.75	$2.75	$6.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.75 / $2.75	Professional		$2.69	$2.75	$2.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $5.61 / $100.00	Professional		$5.61	$5.61	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $2.96 / $50.00	Professional		$2.96	$2.96	$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