Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.39 / $385.98 / $505.83	Facility		$83.39	$385.98	$505.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $65.00 / $652.00	Professional		$25.00	$65.00	$652.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $190.75 / $302.00 / $485.00	Facility		$190.75	$302.00	$485.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,644,112.40 / $1,644,112.40 / $1,644,112.40	Facility		$1,644,112.40	$1,644,112.40	$1,644,112.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $492.49 / $584.72 / $749.46	Facility		$492.49	$584.72	$749.46