Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $377.34 / $558.62 / $745.63	Facility	54	$377.34	$558.62	$745.63
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $649.82 / $1,163.50 / $1,163.50	Facility	54	$649.82	$1,163.50	$1,163.50