Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $7.26 / $22.72	Professional		$5.93	$7.26	$22.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $21.74 / $23.34	Professional		$18.38	$21.74	$23.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.93 / $8.11 / $20.00	Facility		$5.93	$8.11	$20.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,728.12 / $18,772.80	Professional		$13,910.16	$17,728.12	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.26 / $17.29 / $18.76	Facility		$11.26	$17.29	$18.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.93 / $8.11 / $20.00	Facility		$5.93	$8.11	$20.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $24.08 / $2,250,000.00	Professional		$14.45	$24.08	$2,250,000.00