Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $74.04 / $89.26	Professional		$27.01	$74.04	$89.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.63 / $64.88 / $80.12	Professional		$54.63	$64.88	$80.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.03 / $60.99 / $200.86	Facility		$47.03	$60.99	$200.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $165.00 / $18,772.80	Professional		$73.05	$165.00	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.57 / $59.04 / $60.30	Facility		$39.57	$59.04	$60.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.18 / $69.48 / $203.28	Facility		$44.18	$69.48	$203.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.75 / $2,250,000.00 / $2,400,000.00	Professional		$83.75	$2,250,000.00	$2,400,000.00