Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $2.06 / $4.13	Facility		$2.06	$2.06	$4.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.72 / $1.72 / $2.06	Professional		$1.72	$1.72	$2.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.72 / $2.17 / $3.70	Facility		$1.72	$2.17	$3.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $17,150.38 / $18,772.80	Professional		$1.70	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.72 / $2.17 / $7.86	Facility		$1.72	$2.17	$7.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2,250,000.00 / $2,400,000.00	Professional		$1.70	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $4.17 / $4.80	Professional		$3.54	$4.17	$4.80