Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.07 / $1,313.67 / $3,217.94	Facility		$594.07	$1,313.67	$3,217.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.47 / $56.47 / $56.47	Professional		$56.47	$56.47	$56.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $148.83 / $236.00 / $378.00	Facility		$148.83	$236.00	$378.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,644,088.52 / $1,644,088.52 / $1,644,088.52	Facility		$1,644,088.52	$1,644,088.52	$1,644,088.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $389.95 / $496.95 / $618.64	Facility		$389.95	$496.95	$618.64
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