Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.59 / $81.59 / $81.59	Facility		$81.59	$81.59	$81.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $81.59 / $81.59	Professional		$81.59	$81.59	$81.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $403.76 / $412.00 / $412.00	Facility		$403.76	$412.00	$412.00
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