Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.14 / $174.71 / $224.00	Professional		$126.14	$174.71	$224.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $405.81 / $482.07 / $557.67	Professional		$405.81	$482.07	$557.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $152.22 / $201.10 / $416.66	Facility		$152.22	$201.10	$416.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $249.84 / $18,772.80 / $32,828.46	Professional		$249.84	$18,772.80	$32,828.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $247.23 / $405.82 / $412.05	Facility		$247.23	$405.82	$412.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.22 / $198.54 / $426.70	Facility		$152.22	$198.54	$426.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $488.93 / $2,250,000.00 / $2,400,000.00	Professional		$488.93	$2,250,000.00	$2,400,000.00