Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.42 / $1.42 / $1.42	Facility		$1.42	$1.42	$1.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.21 / $1.21 / $1.42	Professional		$1.21	$1.21	$1.42
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 $1.21 / $1.21 / $2.60	Facility		$1.21	$1.21	$2.60
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 $1.21 / $1.21 / $2.60	Facility		$1.21	$1.21	$2.60
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