Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,629.40 / $8,728.00	Facility		$2,747.00	$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 $182.48 / $299.00 / $479.00	Facility		$182.48	$299.00	$479.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,644,109.80 / $1,644,109.80 / $1,644,109.80	Facility		$1,644,109.80	$1,644,109.80	$1,644,109.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $441.25 / $610.80 / $741.52	Facility		$441.25	$610.80	$741.52
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