Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.70 / $68.70 / $161.68	Facility		$68.70	$68.70	$161.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $68.70 / $68.70	Professional		$67.09	$68.70	$68.70
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $80.84 / $117.82	Professional		$80.84	$80.84	$117.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $25.02 / $62.55	Professional		$25.02	$25.02	$62.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $71.41 / $71.41 / $79,999.20	Facility		$71.41	$71.41	$79,999.20
United Facility/Professional Facility Modifier Low / Median / High Price $80.84 / $80.84 / $80.84	Facility		$80.84	$80.84	$80.84
United Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $80.84 / $80.84	Professional		$80.84	$80.84	$80.84