Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.63 / $60.63 / $60.63	Facility		$60.63	$60.63	$60.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.22 / $60.63	Professional		$2.22	$2.22	$60.63
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 $2.22 / $2.22 / $4.76	Facility		$2.22	$2.22	$4.76
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 $2.22 / $2.22 / $4.76	Facility		$2.22	$2.22	$4.76
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