Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.08 / $421.31 / $500.98	Professional		$318.08	$421.31	$500.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $663.52 / $823.45 / $927.13	Professional		$663.52	$823.45	$927.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $421.31 / $666.39 / $1,163.66	Facility		$421.31	$666.39	$1,163.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $968.78 / $968.78 / $968.78	Professional		$968.78	$968.78	$968.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $593.79 / $694.62 / $7,555.38	Facility		$593.79	$694.62	$7,555.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $421.31 / $684.48 / $1,184.05	Facility		$421.31	$684.48	$1,184.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $859.40 / $2,250,000.00 / $2,400,000.00	Professional		$859.40	$2,250,000.00	$2,400,000.00