Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.74 / $127.74 / $127.74	Facility		$127.74	$127.74	$127.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.74 / $138.91 / $138.91	Professional		$127.74	$138.91	$138.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $175.00 / $194.25	Professional		$150.00	$175.00	$194.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.91 / $138.91 / $298.68	Facility		$138.91	$138.91	$298.68
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 $138.91 / $138.91 / $298.68	Facility		$138.91	$138.91	$298.68
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