Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $26.34 / $34.84	Professional		$21.01	$26.34	$34.84
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 $27.03 / $38.32 / $80.51	Facility		$27.03	$38.32	$80.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $17,150.38 / $32,834.56	Professional		$69.02	$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 $27.03 / $38.58 / $82.45	Facility		$27.03	$38.58	$82.45
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