Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,005.12 / $2,005.12 / $38,723.62	Facility		$2,005.12	$2,005.12	$38,723.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,630.18 / $1,630.18 / $11,668.90	Professional		$1,630.18	$1,630.18	$11,668.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,630.18 / $1,711.69 / $7,186.96	Facility		$1,630.18	$1,711.69	$7,186.96
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 $1,630.18 / $1,630.18 / $7,186.96	Facility		$1,630.18	$1,630.18	$7,186.96
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