Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $8,369.76 / $30,593.00	Facility		$1,758.00	$8,369.76	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,074.00 / $7,074.00 / $20,400.00	Professional		$7,074.00	$7,074.00	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,597.54 / $3,305.12 / $3,523.19	Facility		$2,597.54	$3,305.12	$3,523.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $1,646,070.88	Facility		$842.00	$842.00	$1,646,070.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,419.75 / $13,430.34 / $15,166.82	Facility		$13,419.75	$13,430.34	$15,166.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00