Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Facility		$5.13	$5.13	$5.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $3.75	Professional		$3.75	$3.75	$3.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $100.00 / $100.00	Facility		$4.00	$100.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $4.00 / $75.00	Professional		$3.00	$4.00	$75.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $72.00	Professional		$30.00	$50.00	$72.00
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