Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.61 / $212.61 / $425.22	Facility		$212.61	$212.61	$425.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.47 / $176.47 / $212.61	Professional		$176.47	$176.47	$212.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $176.47 / $252.35 / $379.41	Facility		$176.47	$252.35	$379.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.87 / $13,910.16 / $18,772.80	Professional		$56.87	$13,910.16	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $180.30 / $180.30 / $79,999.20	Facility		$180.30	$180.30	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $176.47 / $252.35 / $2,400,000.00	Facility		$176.47	$252.35	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.30 / $180.30 / $180.30	Professional		$180.30	$180.30	$180.30