Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $95.00 / $95.00	Facility		$95.00	$95.00	$95.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $2,374.87 / $2,497.23	Professional		$95.00	$2,374.87	$2,497.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,374.87 / $2,493.61 / $3,253.57	Facility		$2,374.87	$2,493.61	$3,253.57
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 $2,374.87 / $2,374.87 / $3,396.06	Facility		$2,374.87	$2,374.87	$3,396.06
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