Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,627.00 / $9,003.85 / $16,193.00	Facility		$3,627.00	$9,003.85	$16,193.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13,489.00 / $16,193.00 / $20,400.00	Professional		$13,489.00	$16,193.00	$20,400.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,481.81 / $26,624.00 / $79,999.20	Facility		$10,481.81	$26,624.00	$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 $27,928.04 / $36,273.58 / $43,569.74	Facility		$27,928.04	$36,273.58	$43,569.74
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