Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $11,103.80 / $20,400.00	Facility		$2,747.00	$11,103.80	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,972.00 / $11,103.80 / $20,400.00	Professional		$9,972.00	$11,103.80	$20,400.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,739.10 / $12,037.00 / $79,999.20	Facility		$4,739.10	$12,037.00	$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 $8,158.18 / $13,682.38 / $18,619.91	Facility		$8,158.18	$13,682.38	$18,619.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00