Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,110.00 / $4,958.00	Facility		$1,100.00	$2,110.00	$4,958.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $5,000.00 / $5,000.00	Facility		$5,000.00	$5,000.00	$5,000.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $775.00 / $775.00	Facility		$350.00	$775.00	$775.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,206.00 / $1,206.00 / $1,206.00	Facility		$1,206.00	$1,206.00	$1,206.00