Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $11,377.08 / $42,921.00	Facility		$2,747.00	$11,377.08	$42,921.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,972.00 / $9,972.00 / $20,400.00	Professional		$9,972.00	$9,972.00	$20,400.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $225.03 / $369.00 / $591.00	Facility		$225.03	$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