Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $23.31 / $25.74	Professional		$19.12	$23.31	$25.74
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 $21.78 / $30.94 / $57.27	Facility		$21.78	$30.94	$57.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.33 / $44.33 / $46.41	Professional		$44.33	$44.33	$46.41
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 $21.78 / $27.58 / $57.80	Facility		$21.78	$27.58	$57.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.65 / $2,250,000.00 / $2,400,000.00	Professional		$52.65	$2,250,000.00	$2,400,000.00