Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.75 / $46.75 / $46.75	Facility		$46.75	$46.75	$46.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.75 / $46.75 / $46.75	Professional		$46.75	$46.75	$46.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $208.20 / $212.45 / $212.45	Facility		$208.20	$212.45	$212.45
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