Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $21.55 / $26.80	Professional		$14.26	$21.55	$26.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.28 / $35.28 / $44.40	Professional		$30.28	$35.28	$44.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.43 / $23.71 / $58.09	Facility		$19.43	$23.71	$58.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.80 / $42.80 / $49.71	Professional		$42.80	$42.80	$49.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.50 / $32.72 / $34.17	Facility		$20.50	$32.72	$34.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.55 / $23.71 / $2,400,000.00	Facility		$21.55	$23.71	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.52 / $2,250,000.00 / $2,400,000.00	Professional		$37.52	$2,250,000.00	$2,400,000.00