Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $5,116.62 / $8,728.00	Facility		$494.00	$5,116.62	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.65 / $447.37 / $1,416.78	Professional		$125.65	$447.37	$1,416.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $485.00	Facility		$120.00	$120.00	$485.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,644,112.40 / $1,644,112.40 / $1,644,112.40	Facility		$1,644,112.40	$1,644,112.40	$1,644,112.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $492.49 / $584.72 / $749.46	Facility		$492.49	$584.72	$749.46
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00