Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,064.40 / $6,470.00 / $22,024.00	Facility		$2,064.40	$6,470.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $188.00 / $312.00	Professional		$188.00	$188.00	$312.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $37.70 / $37.70 / $70.39	Professional		$37.70	$37.70	$70.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $1,110.00	Facility		$644.92	$1,110.00	$1,110.00
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
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00