Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,116.62 / $9,402.00 / $19,207.90	Facility		$5,116.62	$9,402.00	$19,207.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.86 / $933.86 / $19,207.90	Professional		$933.86	$933.86	$19,207.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16,707.31 / $42,437.00 / $79,999.20	Facility		$16,707.31	$42,437.00	$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 $44,928.40 / $58,697.58 / $69,447.28	Facility		$44,928.40	$58,697.58	$69,447.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $25,152.00 / $66,587.00	Facility		$3,340.00	$25,152.00	$66,587.00