Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $950.00 / $1,500.00 / $1,765.00	Professional		$950.00	$1,500.00	$1,765.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $3,225.00	Facility		$1,500.00	$1,500.00	$3,225.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $17,150.38 / $18,772.80	Professional		$134.19	$17,150.38	$18,772.80
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 $1,500.00 / $1,575.00 / $3,225.00	Facility		$1,500.00	$1,575.00	$3,225.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,400,000.00	$2,400,000.00