Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.40 / $3.98	Professional		$2.00	$2.40	$3.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $177.83	Professional		$169.82	$169.82	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.12 / $0.23	Facility		$0.12	$0.12	$0.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.98 / $3.98	Professional		$2.00	$3.98	$3.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.12 / $0.23	Facility		$0.12	$0.12	$0.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.35 / $79.43	Professional		$0.35	$0.35	$79.43