Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.25 / $269.87 / $269.87	Professional		$224.25	$269.87	$269.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $510.49 / $637.16 / $717.37	Professional		$510.49	$637.16	$717.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $269.87 / $420.86 / $624.16	Facility		$269.87	$420.86	$624.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $520.37 / $18,772.80 / $33,677.92	Professional		$520.37	$18,772.80	$33,677.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $459.35 / $537.47 / $2,966.08	Facility		$459.35	$537.47	$2,966.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.87 / $529.48 / $634.95	Facility		$269.87	$529.48	$634.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $574.17 / $2,250,000.00 / $2,400,000.00	Professional		$574.17	$2,250,000.00	$2,400,000.00