Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $28,724.85 / $41,049.26	Facility		$1,600.00	$28,724.85	$41,049.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,630.18 / $1,630.18 / $11,668.86	Professional		$1,630.18	$1,630.18	$11,668.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $13,400.00	Facility		$100.00	$100.00	$13,400.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10,050.00 / $13,400.00 / $14,510.00	Professional		$10,050.00	$13,400.00	$14,510.00
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