Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,952.67 / $5,229.00 / $15,341.00	Facility		$2,952.67	$5,229.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.50 / $1,505.00 / $1,600.00	Professional		$312.50	$1,505.00	$1,600.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $178.94 / $373.00 / $598.00	Facility		$178.94	$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