Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,859.17 / $9,104.37 / $22,393.80	Facility		$3,859.17	$9,104.37	$22,393.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,859.17 / $3,859.17 / $9,251.04	Professional		$3,859.17	$3,859.17	$9,251.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,409.35 / $5,409.35	Facility		$100.00	$5,409.35	$5,409.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $673.57 / $808.28 / $898.09	Professional		$673.57	$808.28	$898.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,326.50 / $1,326.50 / $1,326.50	Professional		$1,326.50	$1,326.50	$1,326.50
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 $40.01 / $40.01 / $40.01	Professional		$40.01	$40.01	$40.01