Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.91 / $5,116.62 / $20,400.00	Facility		$73.91	$5,116.62	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $84.00 / $175.00	Professional		$40.00	$84.00	$175.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.37 / $45.00 / $72.00	Facility		$28.37	$45.00	$72.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,644,013.84 / $1,644,013.84 / $1,644,013.84	Facility		$1,644,013.84	$1,644,013.84	$1,644,013.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $80.81 / $111.47	Facility		$58.88	$80.81	$111.47