Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,850.00 / $6,850.00 / $6,850.00	Facility		$6,850.00	$6,850.00	$6,850.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,133.39 / $5,133.39 / $6,850.00	Professional		$5,133.39	$5,133.39	$6,850.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,133.39 / $5,133.39 / $7,032.76	Facility		$5,133.39	$5,133.39	$7,032.76
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 $5,133.39 / $5,390.07 / $2,700,000.00	Facility		$5,133.39	$5,390.07	$2,700,000.00
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