Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $36.79	Facility		$20.00	$20.00	$36.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $43.00	Facility		$20.00	$20.00	$43.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.36 / $1.41 / $2,400,000.00	Professional		$1.36	$1.41	$2,400,000.00