Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $4,684.68 / $8,728.00	Facility		$988.00	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.75 / $379.78 / $2,903.60	Professional		$218.75	$379.78	$2,903.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $235.48 / $373.00 / $598.00	Facility		$235.48	$373.00	$598.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,644,137.56 / $1,644,137.56 / $1,644,137.56	Facility		$1,644,137.56	$1,644,137.56	$1,644,137.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $598.00 / $773.56 / $1,044.82	Facility		$598.00	$773.56	$1,044.82
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