Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $9.60 / $10.94	Professional		$9.60	$9.60	$10.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $55,799.44 / $116,998.83	Professional		$13,910.16	$55,799.44	$116,998.83
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 $2,400,000.00 / $2,400,000.00 / $3,288,000.00	Facility		$2,400,000.00	$2,400,000.00	$3,288,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.75 / $18.89 / $18.89	Professional		$15.75	$18.89	$18.89