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 / $20,400.00	Facility		$2,747.00	$10,347.48	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,952.00 / $10,895.20 / $20,400.00	Professional		$8,952.00	$10,895.20	$20,400.00
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 $28,307.03 / $36,273.58 / $43,569.74	Facility		$28,307.03	$36,273.58	$43,569.74
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