Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,961.62 / $7,961.62 / $13,136.67	Facility		$7,961.62	$7,961.62	$13,136.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,124.68 / $7,961.62 / $7,961.62	Professional		$7,124.68	$7,961.62	$7,961.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $7,507.79	Facility		$100.00	$100.00	$7,507.79
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5,630.84 / $6,757.01 / $7,507.79	Professional		$5,630.84	$6,757.01	$7,507.79
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