Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,978.75 / $8,369.76 / $20,400.00	Facility		$2,978.75	$8,369.76	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $9,167.57	Professional		$600.00	$600.00	$9,167.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,497.59 / $8,714.00 / $13,964.00	Facility		$5,497.59	$8,714.00	$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