Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $36.65 / $36.65	Facility		$36.65	$36.65	$36.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $28.57 / $32.75	Professional		$21.01	$28.57	$32.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.37 / $51.69 / $63.24	Professional		$44.37	$51.69	$63.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.04 / $36.03 / $71.38	Facility		$26.04	$36.03	$71.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.34 / $17,150.38 / $32,834.56	Professional		$55.34	$17,150.38	$32,834.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.09 / $47.95 / $48.91	Facility		$32.09	$47.95	$48.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.99 / $36.25 / $71.40	Facility		$25.99	$36.25	$71.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.04 / $2,250,000.00 / $2,400,000.00	Professional		$58.04	$2,250,000.00	$2,400,000.00