Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.00 / $227.00 / $227.00	Facility		$227.00	$227.00	$227.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.00 / $239.19 / $705.31	Professional		$227.00	$239.19	$705.31
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 $239.19 / $239.19 / $514.26	Facility		$239.19	$239.19	$514.26
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 $239.19 / $239.19 / $514.26	Facility		$239.19	$239.19	$514.26
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