Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.29 / $98.29 / $107.20	Facility		$98.29	$98.29	$107.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $86.55 / $103.26	Professional		$70.00	$86.55	$103.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.49 / $60.08 / $122.53	Facility		$45.49	$60.08	$122.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.56 / $85.28 / $87.62	Facility		$58.56	$85.28	$87.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.44 / $68.53 / $111.55	Facility		$48.44	$68.53	$111.55