Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,795.00 / $6,629.40 / $8,728.00	Facility		$1,795.00	$6,629.40	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.97 / $59.97 / $74.00	Professional		$59.97	$59.97	$74.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $413.61 / $656.00 / $1,051.00	Facility		$413.61	$656.00	$1,051.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,644,247.28 / $1,644,247.28 / $1,644,247.28	Facility		$1,644,247.28	$1,644,247.28	$1,644,247.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,093.73 / $1,393.32 / $1,719.25	Facility		$1,093.73	$1,393.32	$1,719.25
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