Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $16.98	Professional		$8.91	$10.96	$16.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $27.54 / $33.88	Professional		$25.12	$27.54	$33.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $11.75 / $22.91	Facility		$8.71	$11.75	$22.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $18.20	Professional		$8.91	$10.96	$18.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $23.44 / $24.55	Facility		$16.22	$23.44	$24.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $12.59 / $22.39	Facility		$8.91	$12.59	$22.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $36.31 / $79.43	Professional		$20.42	$36.31	$79.43