Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $12,214.00 / $27,982.24	Facility		$4,500.00	$12,214.00	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,520.23 / $3,520.23 / $3,520.23	Professional		$3,520.23	$3,520.23	$3,520.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $619.62 / $619.62 / $7,111.52	Professional		$619.62	$619.62	$7,111.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
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