Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,044.39 / $8,728.00	Facility		$2,747.00	$6,044.39	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $993.74 / $1,084.00 / $9,334.40	Professional		$993.74	$1,084.00	$9,334.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $174.07 / $246.59 / $290.11	Facility		$174.07	$246.59	$290.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,644,131.36 / $1,644,131.36 / $1,644,131.36	Facility		$1,644,131.36	$1,644,131.36	$1,644,131.36
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 / $1,078.00 / $6,216.00	Facility		$376.00	$1,078.00	$6,216.00