Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.75 / $569.72 / $738.73	Professional		$345.75	$569.72	$738.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $787.81 / $983.28 / $1,107.07	Professional		$787.81	$983.28	$1,107.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $569.72 / $856.92 / $1,714.78	Facility		$569.72	$856.92	$1,714.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,428.16 / $1,428.16 / $1,428.16	Professional		$1,428.16	$1,428.16	$1,428.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $518.98 / $783.86 / $864.97	Facility		$518.98	$783.86	$864.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $569.72 / $1,224.90 / $1,742.50	Facility		$569.72	$1,224.90	$1,742.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $994.28 / $2,250,000.00 / $2,400,000.00	Professional		$994.28	$2,250,000.00	$2,400,000.00