Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,813.69 / $1,813.69 / $1,813.69	Facility		$1,813.69	$1,813.69	$1,813.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,773.55 / $1,822.70 / $2,230.84	Professional		$1,773.55	$1,822.70	$2,230.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,224.68 / $1,224.68 / $1,224.68	Professional		$1,224.68	$1,224.68	$1,224.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,773.55 / $1,904.37 / $3,899.43	Facility		$1,773.55	$1,904.37	$3,899.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,026.62 / $2,092.25 / $79,999.20	Facility		$2,026.62	$2,092.25	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,796.21 / $1,940.86 / $3,899.43	Facility		$1,796.21	$1,940.86	$3,899.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $1,800,000.00 / $2,400,000.00	Professional		$1,800,000.00	$1,800,000.00	$2,400,000.00