Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.92 / $29.90 / $38.70	Professional		$23.92	$29.90	$38.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.08 / $68.93 / $79.81	Professional		$58.08	$68.93	$79.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.31 / $37.75 / $81.00	Facility		$28.31	$37.75	$81.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.03 / $58.03 / $70.45	Professional		$58.03	$58.03	$70.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.71 / $58.07 / $58.96	Facility		$38.71	$58.07	$58.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.85 / $40.36 / $85.49	Facility		$28.85	$40.36	$85.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.37 / $2,250,000.00 / $2,400,000.00	Professional		$60.37	$2,250,000.00	$2,400,000.00