Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $11,377.08 / $34,906.19	Facility		$2,747.00	$11,377.08	$34,906.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,972.00 / $34,906.19 / $34,906.19	Professional		$9,972.00	$34,906.19	$34,906.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16,635.68 / $42,437.00 / $79,999.20	Facility		$16,635.68	$42,437.00	$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 $30,815.37 / $50,706.56 / $66,091.47	Facility		$30,815.37	$50,706.56	$66,091.47
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00