Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,704.00 / $8,728.00	Facility		$2,747.00	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,423.67 / $1,423.67 / $4,704.00	Professional		$1,423.67	$1,423.67	$4,704.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $192.54 / $237.62 / $591.00	Facility		$192.54	$237.62	$591.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,644,131.36 / $1,644,131.36 / $1,644,131.36	Facility		$1,644,131.36	$1,644,131.36	$1,644,131.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $555.45 / $674.64 / $914.40	Facility		$555.45	$674.64	$914.40
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