Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.94 / $56.94 / $56.94	Facility		$56.94	$56.94	$56.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $46.95 / $57.94	Professional		$38.79	$46.95	$57.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.94 / $115.11 / $133.21	Professional		$96.94	$115.11	$133.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.12 / $61.31 / $126.16	Facility		$46.12	$61.31	$126.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $17,728.12 / $31,965.14	Professional		$80.70	$17,728.12	$31,965.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $96.93 / $98.49	Facility		$64.66	$96.93	$98.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.03 / $55.30 / $126.36	Facility		$47.03	$55.30	$126.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.87 / $2,250,000.00 / $2,400,000.00	Professional		$116.87	$2,250,000.00	$2,400,000.00