Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $61.66	Professional		$38.02	$48.98	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $154.88	Professional		$97.72	$120.23	$154.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $64.57 / $102.33	Facility		$45.71	$64.57	$102.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $61.66	Professional		$36.31	$46.77	$61.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $112.20 / $112.20	Facility		$77.62	$112.20	$112.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $64.57 / $95.50	Facility		$42.66	$64.57	$95.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $162.18	Professional		$60.26	$83.18	$162.18