Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $9,804.54 / $20,400.00	Facility		$2,747.00	$9,804.54	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,952.00 / $9,804.54 / $20,400.00	Professional		$8,952.00	$9,804.54	$20,400.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,777.41 / $22,295.00 / $79,999.20	Facility		$8,777.41	$22,295.00	$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 $13,160.34 / $25,260.97 / $34,486.44	Facility		$13,160.34	$25,260.97	$34,486.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $12,113.00	Facility		$1,981.00	$9,529.00	$12,113.00