Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $50.10 / $61.05	Professional		$17.53	$50.10	$61.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.09 / $150.37 / $189.37	Professional		$129.09	$150.37	$189.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.10 / $51.84 / $107.72	Facility		$50.10	$51.84	$107.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.02 / $13,910.16 / $18,772.80	Professional		$39.02	$13,910.16	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $93.64 / $139.51 / $142.71	Facility		$93.64	$139.51	$142.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.10 / $54.95 / $2,400,000.00	Facility		$50.10	$54.95	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.12 / $2,250,000.00 / $2,400,000.00	Professional		$146.12	$2,250,000.00	$2,400,000.00