Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,288.25	Facility		$1,023.29	$1,288.25	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,318.26	Professional		$776.25	$1,000.00	$1,318.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $630.96 / $1,096.48	Facility		$467.74	$630.96	$1,096.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,096.48	Facility		$912.01	$1,071.52	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $707.95 / $1,202.26	Facility		$467.74	$707.95	$1,202.26