Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $51.55 / $51.55	Professional		$42.78	$51.55	$51.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.65 / $139.34 / $156.88	Professional		$111.65	$139.34	$156.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.55 / $80.39 / $110.83	Facility		$51.55	$80.39	$110.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.63 / $83.63 / $83.63	Professional		$83.63	$83.63	$83.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $74.37 / $111.12 / $123.95	Facility		$74.37	$111.12	$123.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.55 / $89.84 / $121.45	Facility		$51.55	$89.84	$121.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.54 / $2,250,000.00 / $2,400,000.00	Professional		$125.54	$2,250,000.00	$2,400,000.00