Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,399.60 / $11,399.60 / $11,399.60	Facility		$11,399.60	$11,399.60	$11,399.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11,399.60 / $11,399.60 / $11,399.60	Professional		$11,399.60	$11,399.60	$11,399.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,358.54 / $31,851.00 / $79,999.20	Facility		$8,358.54	$31,851.00	$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 $18,894.75 / $42,249.68 / $50,743.40	Facility		$18,894.75	$42,249.68	$50,743.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00