Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $14.74 / $18.47	Professional		$11.95	$14.74	$18.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $34.38 / $39.72	Professional		$28.92	$34.38	$39.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.15 / $18.79 / $38.88	Facility		$14.15	$18.79	$38.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $33.68	Professional		$31.09	$31.09	$33.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $28.92 / $29.48	Facility		$19.35	$28.92	$29.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.35 / $19.64 / $40.67	Facility		$14.35	$19.64	$40.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $2,250,000.00 / $2,400,000.00	Professional		$34.97	$2,250,000.00	$2,400,000.00