Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $79.91 / $97.15	Facility		$1.26	$79.91	$97.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Professional		$1.26	$1.26	$1.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $175.00 / $194.25	Professional		$150.00	$175.00	$194.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $2.71	Facility		$1.26	$1.26	$2.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $952.38 / $952.38 / $79,999.20	Facility		$952.38	$952.38	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $952.38 / $952.38 / $952.38	Professional		$952.38	$952.38	$952.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $2.71	Facility		$1.26	$1.26	$2.71
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