Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,559.09 / $6,072.60 / $15,341.00	Facility		$1,559.09	$6,072.60	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $653.25 / $5,259.20	Professional		$375.00	$653.25	$5,259.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $598.54 / $949.00 / $1,520.00	Facility		$598.54	$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