Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $72.44 / $81.28	Facility		$40.74	$72.44	$81.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $75.86	Professional		$47.86	$61.66	$75.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $41.69 / $75.86	Facility		$29.51	$41.69	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $63.10 / $63.10	Facility		$52.48	$63.10	$63.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $41.69 / $69.18	Facility		$30.20	$41.69	$69.18