Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.66 / $272.01 / $272.01	Professional		$227.66	$272.01	$272.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $518.90 / $647.65 / $729.19	Professional		$518.90	$647.65	$729.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $272.01 / $424.20 / $624.16	Facility		$272.01	$424.20	$624.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $520.37 / $18,772.80 / $33,249.92	Professional		$520.37	$18,772.80	$33,249.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $467.02 / $546.30 / $856.52	Facility		$467.02	$546.30	$856.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $272.01 / $538.16 / $634.95	Facility		$272.01	$538.16	$634.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $644.96 / $2,250,000.00 / $2,400,000.00	Professional		$644.96	$2,250,000.00	$2,400,000.00