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 $697.50 / $697.50 / $697.50	Professional		$697.50	$697.50	$697.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $540.00 / $2,216.51	Professional		$540.00	$540.00	$2,216.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $225.03 / $369.00 / $591.00	Facility		$225.03	$369.00	$591.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $1,644,131.36	Facility		$842.00	$842.00	$1,644,131.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $540.00 / $2,216.51	Professional		$540.00	$540.00	$2,216.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $555.45 / $674.64 / $914.40	Facility		$555.45	$674.64	$914.40
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00