Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,107.00 / $13,392.00 / $21,735.00	Facility		$3,107.00	$13,392.00	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13,392.00 / $13,753.40 / $20,400.00	Professional		$13,392.00	$13,753.40	$20,400.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,750.50 / $9,526.00 / $79,999.20	Facility		$3,750.50	$9,526.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,646,163.48 / $2,400,000.00 / $2,400,000.00	Facility		$1,646,163.48	$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 $10,230.99 / $14,735.71 / $34,086.12	Facility		$10,230.99	$14,735.71	$34,086.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00