Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.63 / $22.36 / $23.31	Professional		$17.63	$22.36	$23.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.14 / $57.16 / $66.13	Professional		$48.14	$57.16	$66.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $24.48 / $49.30	Facility		$19.73	$24.48	$49.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.51 / $31.51 / $39.33	Professional		$31.51	$31.51	$39.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.11 / $48.14 / $48.91	Facility		$32.11	$48.14	$48.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $24.48 / $50.01	Facility		$19.73	$24.48	$50.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.22 / $2,250,000.00 / $2,400,000.00	Professional		$54.22	$2,250,000.00	$2,400,000.00