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 $2,425.50 / $3,473.60 / $4,168.32	Professional		$2,425.50	$3,473.60	$4,168.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,177.62 / $5,613.04 / $13,964.00	Facility		$4,177.62	$5,613.04	$13,964.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,647,300.28 / $1,647,300.28 / $1,647,300.28	Facility		$1,647,300.28	$1,647,300.28	$1,647,300.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $17,810.43 / $21,600.03	Facility		$13,624.30	$17,810.43	$21,600.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00