Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $76.84 / $125.41	Facility		$29.29	$76.84	$125.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $94.00 / $282.80	Professional		$60.00	$94.00	$282.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $10.95 / $72.00	Professional		$8.96	$10.95	$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