Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,116.62 / $8,728.00	Facility		$2,747.00	$5,116.62	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.85 / $525.00 / $4,080.00	Professional		$187.85	$525.00	$4,080.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Facility		$691.00	$691.00	$691.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.25 / $194.25 / $194.25	Professional		$194.25	$194.25	$194.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,266.98 / $3,519.00 / $5,640.00	Facility		$2,266.98	$3,519.00	$5,640.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $691.00 / $1,645,290.12	Facility		$64.00	$691.00	$1,645,290.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $808.00 / $808.00 / $808.00	Professional		$808.00	$808.00	$808.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,698.81 / $7,379.02 / $8,723.76	Facility		$5,698.81	$7,379.02	$8,723.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00