Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $102.33 / $109.65	Facility		$53.70	$102.33	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $112.20	Professional		$70.79	$91.20	$112.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $56.23 / $100.00	Facility		$40.74	$56.23	$100.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $85.11 / $89.13	Facility		$66.07	$85.11	$89.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $58.88 / $104.71	Facility		$41.69	$58.88	$104.71