Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,116.62 / $13,147.99 / $16,737.59	Facility		$5,116.62	$13,147.99	$16,737.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13,496.00 / $16,737.59 / $20,400.00	Professional		$13,496.00	$16,737.59	$20,400.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17,500.50 / $44,451.00 / $79,999.20	Facility		$17,500.50	$44,451.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,654,095.20 / $1,654,095.20 / $2,400,000.00	Facility		$1,654,095.20	$1,654,095.20	$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 $38,508.10 / $55,796.84 / $70,516.50	Facility		$38,508.10	$55,796.84	$70,516.50
United Facility/Professional Facility Modifier Low / Median / High Price $4,252.00 / $37,152.00 / $65,339.00	Facility		$4,252.00	$37,152.00	$65,339.00