Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $34.25	Facility		$25.00	$25.00	$34.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17,728.12 / $17,728.12 / $17,728.12	Professional		$17,728.12	$17,728.12	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $103.95 / $126.63	Facility		$75.98	$103.95	$126.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $34.25	Facility		$25.00	$25.00	$34.25