Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.00 / $61.00 / $61.00	Facility		$61.00	$61.00	$61.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.81 / $46.81 / $46.81	Professional		$46.81	$46.81	$46.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.81 / $66.94 / $100.64	Facility		$46.81	$66.94	$100.64
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 $46.81 / $46.81 / $100.64	Facility		$46.81	$46.81	$100.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,950,000.00 / $2,250,000.00 / $2,550,000.00	Professional		$1,950,000.00	$2,250,000.00	$2,550,000.00