Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,609.27 / $1,609.27 / $2,655.29	Facility		$1,609.27	$1,609.27	$2,655.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,609.27 / $1,609.27 / $4,000.00	Professional		$1,609.27	$1,609.27	$4,000.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $178.78	Facility		$100.00	$100.00	$178.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
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