Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.20 / $69.20 / $69.20	Facility		$69.20	$69.20	$69.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $69.20 / $69.20	Professional		$69.20	$69.20	$69.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $497.74 / $507.90 / $507.90	Facility		$497.74	$507.90	$507.90
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