Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.40 / $104.40 / $104.40	Facility		$104.40	$104.40	$104.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.40 / $104.40 / $104.40	Professional		$104.40	$104.40	$104.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.40 / $104.40 / $143.03	Facility		$104.40	$104.40	$143.03
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 $104.40 / $104.40 / $143.03	Facility		$104.40	$104.40	$143.03
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