Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $19.94 / $22.68	Professional		$17.30	$19.94	$22.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $46.66 / $57.07	Professional		$40.06	$46.66	$57.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.76 / $28.26 / $49.80	Facility		$19.76	$28.26	$49.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.59 / $17,150.38 / $32,834.56	Professional		$47.59	$17,150.38	$32,834.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.01 / $43.29 / $44.22	Facility		$29.01	$43.29	$44.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.68 / $28.26 / $50.15	Facility		$20.68	$28.26	$50.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $2,250,000.00 / $2,400,000.00	Professional		$52.47	$2,250,000.00	$2,400,000.00