Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,942.08 / $7,920.26 / $20,400.00	Facility		$4,942.08	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,586.16 / $1,905.16 / $7,074.00	Professional		$1,586.16	$1,905.16	$7,074.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $144.27 / $193.85 / $482.00	Facility		$144.27	$193.85	$482.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,644,113.80 / $1,644,113.80 / $1,644,113.80	Facility		$1,644,113.80	$1,644,113.80	$1,644,113.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $468.03 / $608.69 / $745.96	Facility		$468.03	$608.69	$745.96
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