Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.84 / $80.84 / $161.68	Facility		$80.84	$80.84	$161.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $67.09 / $80.84	Professional		$67.09	$67.09	$80.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.09 / $95.95 / $144.27	Facility		$67.09	$95.95	$144.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.30 / $13,910.16 / $18,772.80	Professional		$44.30	$13,910.16	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $71.41 / $71.41 / $79,999.20	Facility		$71.41	$71.41	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.09 / $95.95 / $2,400,000.00	Facility		$67.09	$95.95	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $80.84 / $80.84	Professional		$80.84	$80.84	$80.84