Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $97.39 / $119.42	Professional		$77.91	$97.39	$119.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.91 / $81.81 / $167.51	Facility		$77.91	$81.81	$167.51
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 $77.91 / $81.81 / $167.51	Facility		$77.91	$81.81	$167.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,400,000.00	$2,400,000.00