Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,116.62 / $8,369.76 / $20,400.00	Facility		$5,116.62	$8,369.76	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.00 / $672.00 / $18,360.00	Professional		$672.00	$672.00	$18,360.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,548.16 / $5,613.04 / $13,964.00	Facility		$4,548.16	$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 / $17,192.00 / $24,231.00	Facility		$2,912.00	$17,192.00	$24,231.00