Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.80 / $216.80 / $216.80	Facility		$216.80	$216.80	$216.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $45.76 / $48.17	Professional		$45.76	$45.76	$48.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.76 / $48.05 / $98.38	Facility		$45.76	$48.05	$98.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $113.36 / $113.36 / $113.36	Professional		$113.36	$113.36	$113.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $348.42 / $885.00 / $79,999.20	Facility		$348.42	$885.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.76 / $55.35 / $98.38	Facility		$45.76	$55.35	$98.38
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