Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $981.37 / $981.37 / $981.37	Professional		$981.37	$981.37	$981.37
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 $2,146.86 / $3,519.00 / $5,640.00	Facility		$2,146.86	$3,519.00	$5,640.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $1,645,290.12	Facility		$691.00	$691.00	$1,645,290.12
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