Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.81 / $46.81 / $46.81	Facility		$46.81	$46.81	$46.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.81 / $46.81 / $46.81	Professional		$46.81	$46.81	$46.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $55.00 / $76.98	Professional		$13.50	$55.00	$76.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $40.00	Professional		$30.00	$40.00	$40.00
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 $25.20 / $25.20 / $25.20	Professional		$25.20	$25.20	$25.20