Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $10,347.48 / $23,029.80	Facility		$2,747.00	$10,347.48	$23,029.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,952.00 / $23,029.80 / $23,029.80	Professional		$8,952.00	$23,029.80	$23,029.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,481.81 / $26,624.00 / $79,999.20	Facility		$10,481.81	$26,624.00	$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 $15,406.66 / $31,335.33 / $41,335.56	Facility		$15,406.66	$31,335.33	$41,335.56
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00