Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Facility		$40.11	$40.11	$40.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $91.94 / $95.00	Professional		$40.11	$91.94	$95.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $32.34 / $87.08	Professional		$28.29	$32.34	$87.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.42 / $96.54 / $6,532.10	Facility		$40.42	$96.54	$6,532.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.24 / $41.51 / $79,999.20	Facility		$40.24	$41.51	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.42 / $92.16 / $6,532.10	Facility		$40.42	$92.16	$6,532.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.99 / $56.24 / $2,250,000.00	Professional		$53.99	$56.24	$2,250,000.00