Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.12 / $42.12 / $42.12	Facility		$42.12	$42.12	$42.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $28.38 / $34.81	Professional		$20.92	$28.38	$34.81
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 $26.94 / $38.36 / $73.87	Facility		$26.94	$38.36	$73.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.07 / $64.56 / $64.56	Professional		$63.07	$64.56	$64.56
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 $26.66 / $38.88 / $76.50	Facility		$26.66	$38.88	$76.50
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