Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,768.95 / $3,768.95 / $3,768.95	Facility		$3,768.95	$3,768.95	$3,768.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,768.95 / $3,768.95 / $3,768.95	Professional		$3,768.95	$3,768.95	$3,768.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,470.60	Facility		$100.00	$100.00	$2,470.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,852.95 / $2,223.54 / $2,470.60	Professional		$1,852.95	$2,223.54	$2,470.60
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