Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $12.48 / $12.48	Facility		$12.48	$12.48	$12.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $11.51 / $11.81	Professional		$9.27	$11.51	$11.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $29.66 / $34.24	Professional		$24.94	$29.66	$34.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.44 / $14.46 / $24.90	Facility		$10.44	$14.46	$24.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $17,728.12 / $31,923.52	Professional		$20.26	$17,728.12	$31,923.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.28 / $23.31 / $24.79	Facility		$16.28	$23.31	$24.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.52 / $14.26 / $24.90	Facility		$10.52	$14.26	$24.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $2,250,000.00 / $2,400,000.00	Professional		$26.07	$2,250,000.00	$2,400,000.00