Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $46.77	Professional		$19.05	$22.91	$46.77
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 $19.95 / $26.92 / $48.98	Facility		$19.95	$26.92	$48.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $46.77	Professional		$19.05	$22.91	$46.77
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 $20.42 / $29.51 / $48.98	Facility		$20.42	$29.51	$48.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $63.10 / $79.43	Professional		$46.77	$63.10	$79.43