Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $79.43 / $478.63	Facility		$52.48	$79.43	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $58.88 / $138.04	Professional		$38.90	$58.88	$138.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $67.61 / $117.49	Facility		$31.62	$67.61	$117.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $104.71 / $112.20	Facility		$66.07	$104.71	$112.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $60.26 / $128.82	Facility		$26.92	$60.26	$128.82