Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $28.18	Professional		$18.20	$21.88	$28.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $52.48 / $66.07	Professional		$48.98	$52.48	$66.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $23.44 / $44.67	Facility		$17.78	$23.44	$44.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $28.18	Professional		$16.98	$21.88	$28.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $47.86 / $48.98	Facility		$33.88	$47.86	$48.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $26.30 / $44.67	Facility		$18.20	$26.30	$44.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $63.10 / $79.43	Professional		$38.90	$63.10	$79.43