Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.18 / $31.88 / $51.81	Professional		$29.18	$31.88	$51.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $60.77 / $86.62	Professional		$29.34	$60.77	$86.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.39 / $39.97 / $104.49	Facility		$29.39	$39.97	$104.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.47 / $60.78 / $61.64	Facility		$36.47	$60.78	$61.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.39 / $48.36 / $104.49	Facility		$29.39	$48.36	$104.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.63 / $2,250,000.00 / $2,400,000.00	Professional		$109.63	$2,250,000.00	$2,400,000.00