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 / $20,400.00	Facility		$2,747.00	$11,377.08	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15,154.57 / $15,154.60 / $15,154.60	Professional		$15,154.57	$15,154.60	$15,154.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12,539.82 / $31,851.00 / $79,999.20	Facility		$12,539.82	$31,851.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $2,400,000.00 / $2,400,000.00	Facility		$842.00	$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 $18,030.73 / $34,872.30 / $49,268.95	Facility		$18,030.73	$34,872.30	$49,268.95
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