Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $17.38 / $20.00	Professional		$14.31	$17.38	$20.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.01 / $36.13 / $44.19	Professional		$31.01	$36.13	$44.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.35 / $23.05 / $41.50	Facility		$16.35	$23.05	$41.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.21 / $17,150.38 / $32,834.56	Professional		$45.21	$17,150.38	$32,834.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.42 / $33.52 / $34.17	Facility		$22.42	$33.52	$34.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $23.81 / $42.50	Facility		$16.94	$23.81	$42.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $2,250,000.00 / $2,400,000.00	Professional		$40.54	$2,250,000.00	$2,400,000.00