Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $14.13 / $100.00	Professional		$2.00	$14.13	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.79 / $0.83 / $14.45	Facility		$0.79	$0.83	$14.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $14.13 / $100.00	Professional		$2.00	$14.13	$100.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.79 / $0.79 / $4.57	Facility		$0.79	$0.79	$4.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43