Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $1.82 / $1.90	Facility		$0.80	$1.82	$1.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $14.46	Professional		$0.80	$0.80	$14.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.59 / $90.00 / $100.00	Facility		$15.59	$90.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $45.49 / $59.00	Professional		$6.00	$45.49	$59.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $0.80 / $1.20	Facility		$0.80	$0.80	$1.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $1.20	Professional		$0.80	$0.80	$1.20
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 $256.41 / $256.41 / $256.41	Facility		$256.41	$256.41	$256.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $59.00 / $59.00	Professional		$59.00	$59.00	$59.00