Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.00 / $2,398.00 / $51,825.26	Facility		$2,398.00	$2,398.00	$51,825.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.00 / $2,398.00 / $4,856.00	Professional		$2,398.00	$2,398.00	$4,856.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $930.21	Facility		$100.00	$100.00	$930.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $697.66 / $837.19 / $930.21	Professional		$697.66	$837.19	$930.21
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