Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,442.36 / $6,044.40 / $20,400.00	Facility		$2,442.36	$6,044.40	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,137.56 / $1,137.56 / $10,236.79	Professional		$1,137.56	$1,137.56	$10,236.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $232.73 / $369.00 / $591.00	Facility		$232.73	$369.00	$591.00
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 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00