Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $92.00 / $148.00	Facility		$58.28	$92.00	$148.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,644,033.60 / $1,644,033.60 / $1,644,033.60	Facility		$1,644,033.60	$1,644,033.60	$1,644,033.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $156.80 / $196.41 / $242.25	Facility		$156.80	$196.41	$242.25