Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $32.64 / $32.64	Professional		$27.52	$32.64	$32.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.89 / $78.45 / $88.38	Professional		$62.89	$78.45	$88.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.64 / $50.90 / $73.04	Facility		$32.64	$50.90	$73.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $17,150.38 / $18,772.80	Professional		$60.29	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.00 / $62.56 / $68.34	Facility		$41.00	$62.56	$68.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.64 / $60.14 / $73.95	Facility		$32.64	$60.14	$73.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.66 / $2,250,000.00 / $2,400,000.00	Professional		$70.66	$2,250,000.00	$2,400,000.00