Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.28 / $63.00 / $84.00	Facility		$52.28	$63.00	$84.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $53.00 / $95.96	Professional		$38.00	$53.00	$95.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,907.05 / $4,081.00 / $5,085.88	Facility		$2,907.05	$4,081.00	$5,085.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $48.49 / $81.08	Professional		$33.83	$48.49	$81.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.50 / $52.00 / $69.00	Facility		$42.50	$52.00	$69.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,907.05 / $4,081.00 / $5,085.88	Facility		$2,907.05	$4,081.00	$5,085.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.38 / $128.38 / $128.38	Professional		$128.38	$128.38	$128.38
United Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $65.00 / $82.50	Professional		$53.00	$65.00	$82.50