Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $1,100.00 / $4,958.00	Facility		$1,100.00	$1,100.00	$4,958.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $539.00 / $539.00 / $539.00	Facility		$539.00	$539.00	$539.00
United Facility/Professional Facility Modifier Low / Median / High Price $855.00 / $855.00 / $1,084.00	Facility		$855.00	$855.00	$1,084.00