Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.03 / $53.03 / $53.03	Facility		$53.03	$53.03	$53.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $47.06 / $776.64	Professional		$47.06	$47.06	$776.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Professional		$35.00	$35.00	$35.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.06 / $49.41 / $776.64	Facility		$47.06	$49.41	$776.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.43 / $1,071.43 / $79,999.20	Facility		$1,071.43	$1,071.43	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,071.43 / $1,071.43 / $1,071.43	Professional		$1,071.43	$1,071.43	$1,071.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.06 / $49.41 / $2,400,000.00	Facility		$47.06	$49.41	$2,400,000.00
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