Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $18.62 / $23.63	Professional		$13.35	$18.62	$23.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $38.97 / $55.56	Professional		$18.82	$38.97	$55.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.17 / $21.45 / $47.79	Facility		$17.17	$21.45	$47.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.39 / $38.97 / $39.53	Facility		$23.39	$38.97	$39.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.17 / $25.94 / $47.79	Facility		$17.17	$25.94	$47.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.74 / $2,250,000.00 / $2,400,000.00	Professional		$57.74	$2,250,000.00	$2,400,000.00