Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,424.84 / $3,424.84 / $3,424.84	Facility		$3,424.84	$3,424.84	$3,424.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,663.50 / $1,663.50 / $3,424.84	Professional		$1,663.50	$1,663.50	$3,424.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $391.41 / $1,663.50 / $2,279.00	Facility		$391.41	$1,663.50	$2,279.00
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 $391.41 / $1,663.50 / $4,478.92	Facility		$391.41	$1,663.50	$4,478.92
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
United Facility/Professional Professional Modifier Low / Median / High Price $1,330.80 / $1,330.80 / $2,661.60	Professional		$1,330.80	$1,330.80	$2,661.60