Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,213.00 / $7,920.26 / $36,832.00	Facility		$3,213.00	$7,920.26	$36,832.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.98 / $627.98 / $4,704.00	Professional		$627.98	$627.98	$4,704.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $627.98 / $627.98 / $1,350.16	Facility		$627.98	$627.98	$1,350.16
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 $627.98 / $786.54 / $1,350.16	Facility		$627.98	$786.54	$1,350.16
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
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $21,636.00 / $66,587.00	Facility		$376.00	$21,636.00	$66,587.00