Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.48 / $51.48 / $51.48	Facility		$51.48	$51.48	$51.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $45.45 / $53.50	Professional		$33.22	$45.45	$53.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.05 / $91.54 / $105.88	Professional		$77.05	$91.54	$105.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.38 / $50.48 / $111.78	Facility		$37.38	$50.48	$111.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.93 / $17,728.12 / $31,965.14	Professional		$70.93	$17,728.12	$31,965.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.46 / $77.06 / $79.06	Facility		$51.46	$77.06	$79.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.22 / $51.70 / $117.86	Facility		$38.22	$51.70	$117.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.06 / $2,250,000.00 / $2,400,000.00	Professional		$97.06	$2,250,000.00	$2,400,000.00