Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.07 / $150.07 / $353.10	Facility		$150.07	$150.07	$353.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.54 / $150.07 / $150.07	Professional		$146.54	$150.07	$150.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $247.02	Professional		$100.00	$100.00	$247.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $149.71 / $149.71 / $79,999.20	Facility		$149.71	$149.71	$79,999.20
United Facility/Professional Professional Modifier Low / Median / High Price $136.80 / $136.80 / $136.80	Professional		$136.80	$136.80	$136.80