Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $13.72 / $2,128.17	Facility		$13.72	$13.72	$2,128.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $11.16 / $2,128.17	Professional		$11.16	$11.16	$2,128.17
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 $11.16 / $11.16 / $23.99	Facility		$11.16	$11.16	$23.99
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 $11.16 / $11.16 / $23.99	Facility		$11.16	$11.16	$23.99
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