Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13,496.00 / $13,496.00 / $20,400.00	Professional		$13,496.00	$13,496.00	$20,400.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27,500.50 / $69,851.00 / $79,999.20	Facility		$27,500.50	$69,851.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659,863.72 / $1,659,863.72 / $2,400,000.00	Facility		$1,659,863.72	$1,659,863.72	$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 $38,876.56 / $83,684.02 / $110,810.51	Facility		$38,876.56	$83,684.02	$110,810.51
United Facility/Professional Facility Modifier Low / Median / High Price $7,425.00 / $57,498.00 / $90,630.00	Facility		$7,425.00	$57,498.00	$90,630.00