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 $20,400.00 / $20,400.00 / $20,400.00	Professional		$20,400.00	$20,400.00	$20,400.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $454.84 / $949.00 / $1,520.00	Facility		$454.84	$949.00	$1,520.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,644,349.72 / $1,644,349.72 / $1,644,349.72	Facility		$1,644,349.72	$1,644,349.72	$1,644,349.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,578.09 / $2,064.48 / $2,604.89	Facility		$1,578.09	$2,064.48	$2,604.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00