Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,213.00 / $6,629.40 / $8,728.00	Facility		$3,213.00	$6,629.40	$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
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,631.79 / $5,756.00 / $9,225.00	Facility		$3,631.79	$5,756.00	$9,225.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,646,166.08 / $1,646,166.08 / $1,646,166.08	Facility		$1,646,166.08	$1,646,166.08	$1,646,166.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,539.09 / $11,131.60 / $14,269.30	Facility		$8,539.09	$11,131.60	$14,269.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00