Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.93 / $44.71 / $47.20	Professional		$32.93	$44.71	$47.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $100.07 / $114.65	Professional		$81.59	$100.07	$114.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.71 / $69.73 / $106.24	Facility		$44.71	$69.73	$106.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.13 / $87.13 / $87.13	Professional		$87.13	$87.13	$87.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.86 / $79.51 / $86.43	Facility		$51.86	$79.51	$86.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.71 / $87.14 / $108.80	Facility		$44.71	$87.14	$108.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.65 / $2,250,000.00 / $2,400,000.00	Professional		$97.65	$2,250,000.00	$2,400,000.00