Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $372.59 / $538.45 / $707.54	Facility	54	$372.59	$538.45	$707.54
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $632.63 / $1,134.90 / $1,134.90	Facility	54	$632.63	$1,134.90	$1,134.90