Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $794.50 / $829.50	Facility		$350.00	$794.50	$829.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $350.00	Professional		$350.00	$350.00	$350.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $61.20 / $514.79 / $514.79	Facility		$61.20	$514.79	$514.79
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $301.30 / $600.00	Professional		$21.15	$301.30	$600.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
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
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $301.30 / $301.30 / $301.30	Professional		$301.30	$301.30	$301.30