Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.10 / $63.80 / $475.60	Facility		$39.10	$63.80	$475.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $59.40 / $132.27	Professional		$43.79	$59.40	$132.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.79 / $61.20 / $150.86	Facility		$31.79	$61.20	$150.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $91.30 / $111.22	Facility		$38.36	$91.30	$111.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.79 / $80.92 / $150.86	Facility		$31.79	$80.92	$150.86