Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.87 / $179.52 / $194.25	Professional		$159.87	$179.52	$194.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.72 / $458.57 / $550.15	Professional		$393.72	$458.57	$550.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.25 / $259.38 / $415.83	Facility		$194.25	$259.38	$415.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.68 / $346.68 / $346.68	Professional		$346.68	$346.68	$346.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $258.08 / $406.69 / $430.14	Facility		$258.08	$406.69	$430.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.25 / $258.75 / $417.64	Facility		$194.25	$258.75	$417.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $477.11 / $2,250,000.00 / $2,400,000.00	Professional		$477.11	$2,250,000.00	$2,400,000.00