Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $16.92 / $20.37	Professional		$11.95	$16.92	$20.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.10 / $47.66 / $58.86	Professional		$40.10	$47.66	$58.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.83 / $16.93 / $43.45	Facility		$13.83	$16.93	$43.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.72 / $13,910.16 / $18,772.80	Professional		$46.72	$13,910.16	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.02 / $43.34 / $44.89	Facility		$29.02	$43.34	$44.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.83 / $16.93 / $47.52	Facility		$13.83	$16.93	$47.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $2,250,000.00 / $2,400,000.00	Professional		$45.28	$2,250,000.00	$2,400,000.00