Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $28.18	Professional		$16.98	$19.95	$28.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $45.71 / $56.23	Professional		$38.02	$45.71	$56.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $24.55 / $41.69	Facility		$18.20	$24.55	$41.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $26.30	Professional		$15.85	$19.95	$26.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $43.65 / $44.67	Facility		$30.90	$43.65	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $25.12 / $41.69	Facility		$17.78	$25.12	$41.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $60.26 / $79.43	Professional		$30.20	$60.26	$79.43