Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.90 / $51.29	Professional		$28.18	$30.90	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $61.66 / $87.10	Professional		$30.90	$61.66	$87.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $57.54 / $95.50	Facility		$30.20	$57.54	$95.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.11 / $60.26	Professional		$28.84	$33.11	$60.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $60.26 / $61.66	Facility		$42.66	$60.26	$61.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $50.12 / $85.11	Facility		$30.20	$50.12	$85.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $89.13	Professional		$63.10	$79.43	$89.13