Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $5,116.62 / $8,728.00	Facility		$988.00	$5,116.62	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,704.00 / $4,704.00 / $20,400.00	Professional		$4,704.00	$4,704.00	$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