Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.32 / $4,684.68 / $8,728.00	Facility		$367.32	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $1,689.52 / $4,154.55	Professional		$400.00	$1,689.52	$4,154.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $482.00 / $879.45 / $1,071.33	Facility		$482.00	$879.45	$1,071.33
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