Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Professional		$70.00	$70.00	$70.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.59 / $103.20 / $129.94	Professional		$88.59	$103.20	$129.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $150.50	Facility		$70.00	$70.00	$150.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $135.52 / $13,910.16 / $18,772.80	Professional		$135.52	$13,910.16	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.29 / $95.74 / $97.15	Facility		$58.29	$95.74	$97.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $2,400,000.00	Facility		$70.00	$70.00	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.16 / $2,250,000.00 / $2,400,000.00	Professional		$100.16	$2,250,000.00	$2,400,000.00