Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21,537.00 / $21,537.00 / $21,537.00	Facility		$21,537.00	$21,537.00	$21,537.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,557.09 / $1,557.09 / $21,537.00	Professional		$1,557.09	$1,557.09	$21,537.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,557.09 / $2,133.21 / $3,044.76	Facility		$1,557.09	$2,133.21	$3,044.76
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 $1,557.09 / $2,133.21 / $3,641.40	Facility		$1,557.09	$2,133.21	$3,641.40
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