Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,424.32 / $5,806.00 / $15,949.48	Facility		$2,424.32	$5,806.00	$15,949.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $176.00 / $432.90	Professional		$85.00	$176.00	$432.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $144.27 / $301.00 / $482.00	Facility		$144.27	$301.00	$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 / $1,078.00 / $6,216.00	Facility		$376.00	$1,078.00	$6,216.00