Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,575.67 / $5,649.00 / $15,341.00	Facility		$1,575.67	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,575.67 / $1,575.67 / $6,616.00	Professional		$1,575.67	$1,575.67	$6,616.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,737.53 / $4,413.00 / $79,999.20	Facility		$1,737.53	$4,413.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,400,000.00 / $2,400,000.00 / $2,400,000.00	Facility		$2,400,000.00	$2,400,000.00	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,222.39	Facility		$4,573.85	$5,897.44	$7,222.39
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