Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $152.94 / $163.22	Professional		$136.22	$152.94	$163.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.32 / $376.55 / $451.75	Professional		$323.32	$376.55	$451.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $139.03 / $194.35 / $348.21	Facility		$139.03	$194.35	$348.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $296.17 / $296.17 / $296.17	Professional		$296.17	$296.17	$296.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $211.45 / $319.95 / $352.42	Facility		$211.45	$319.95	$352.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.03 / $194.35 / $355.24	Facility		$139.03	$194.35	$355.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $397.87 / $2,250,000.00 / $2,400,000.00	Professional		$397.87	$2,250,000.00	$2,400,000.00