Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,000.00 / $4,000.00 / $4,000.00	Facility		$4,000.00	$4,000.00	$4,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,609.27 / $1,609.27 / $2,114.64	Professional		$1,609.27	$1,609.27	$2,114.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,609.27 / $1,689.73 / $2,204.69	Facility		$1,609.27	$1,689.73	$2,204.69
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 $1,609.27 / $1,609.27 / $2,301.26	Facility		$1,609.27	$1,609.27	$2,301.26
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