Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.11 / $69.11 / $69.11	Facility		$69.11	$69.11	$69.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.11 / $88.85 / $88.85	Professional		$69.11	$88.85	$88.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.38 / $55.29 / $149.56	Professional		$48.38	$55.29	$149.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.11 / $93.29 / $6,683.99	Facility		$69.11	$93.29	$6,683.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $69.11 / $71.18 / $79,999.20	Facility		$69.11	$71.18	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.11 / $93.29 / $6,683.99	Facility		$69.11	$93.29	$6,683.99
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