Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $49.24 / $51.98	Professional		$26.69	$49.24	$51.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.10 / $133.31 / $156.55	Professional		$95.10	$133.31	$156.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.98 / $74.33 / $111.76	Facility		$51.98	$74.33	$111.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.87 / $17,150.38 / $18,772.80	Professional		$82.87	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $67.94 / $102.81 / $113.23	Facility		$67.94	$102.81	$113.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.98 / $82.04 / $111.76	Facility		$51.98	$82.04	$111.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.28 / $2,250,000.00 / $2,400,000.00	Professional		$119.28	$2,250,000.00	$2,400,000.00