Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,596.48 / $8,728.00	Facility		$2,747.00	$5,596.48	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.70 / $2,587.23 / $7,500.00	Professional		$303.70	$2,587.23	$7,500.00
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