Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $9,338.46 / $20,400.00	Facility		$2,747.00	$9,338.46	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,074.00 / $18,987.30 / $20,400.00	Professional		$7,074.00	$18,987.30	$20,400.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,756.91 / $6,756.91 / $6,756.91	Professional		$6,756.91	$6,756.91	$6,756.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,825.64 / $20,956.00 / $79,999.20	Facility		$6,825.64	$20,956.00	$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 $6,756.91 / $2,250,000.00 / $2,400,000.00	Professional		$6,756.91	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,506.54 / $28,192.78 / $34,294.85	Facility		$22,506.54	$28,192.78	$34,294.85
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