Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $257.04 / $323.59	Professional		$223.87	$257.04	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $724.44	Professional		$457.09	$588.84	$724.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $346.74 / $575.44	Facility		$245.47	$346.74	$575.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $251.19 / $363.08	Professional		$204.17	$251.19	$363.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $537.03 / $562.34	Facility		$457.09	$537.03	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $338.84 / $537.03	Facility		$234.42	$338.84	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $812.83	Professional		$70.79	$79.43	$812.83