Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,856.00 / $4,856.00 / $4,856.00	Facility		$4,856.00	$4,856.00	$4,856.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.00 / $2,398.00 / $4,916.51	Professional		$2,398.00	$2,398.00	$4,916.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.00 / $2,517.90 / $4,916.51	Facility		$2,398.00	$2,517.90	$4,916.51
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 $2,398.00 / $2,398.00 / $4,916.51	Facility		$2,398.00	$2,398.00	$4,916.51
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