Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20,400.00 / $20,400.00 / $20,400.00	Professional		$20,400.00	$20,400.00	$20,400.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $509.41 / $1,063.00 / $1,703.00	Facility		$509.41	$1,063.00	$1,703.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,644,398.00 / $1,644,398.00 / $1,644,398.00	Facility		$1,644,398.00	$1,644,398.00	$1,644,398.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,101.36 / $2,633.84	Facility		$1,719.37	$2,101.36	$2,633.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,983.00 / $4,911.00	Facility		$1,106.00	$2,983.00	$4,911.00