Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.84 / $1,125.84 / $1,125.84	Facility		$1,125.84	$1,125.84	$1,125.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.37 / $239.37 / $1,125.84	Professional		$239.37	$239.37	$1,125.84
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 $239.37 / $239.37 / $514.65	Facility		$239.37	$239.37	$514.65
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 $239.37 / $239.37 / $514.65	Facility		$239.37	$239.37	$514.65
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