Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,002.60 / $11,002.60 / $11,002.60	Facility		$11,002.60	$11,002.60	$11,002.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,908.26 / $1,908.26 / $11,002.60	Professional		$1,908.26	$1,908.26	$11,002.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,908.26 / $2,501.75 / $2,728.81	Facility		$1,908.26	$2,501.75	$2,728.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,908.26 / $2,501.75 / $3,121.20	Facility		$1,908.26	$2,501.75	$3,121.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,400,000.00