Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.08 / $309.30 / $355.78	Professional		$221.08	$309.30	$355.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $503.14 / $627.98 / $707.04	Professional		$503.14	$627.98	$707.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.30 / $482.35 / $825.85	Facility		$309.30	$482.35	$825.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $687.88 / $687.88 / $687.88	Professional		$687.88	$687.88	$687.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $331.65 / $500.64 / $552.75	Facility		$331.65	$500.64	$552.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.30 / $665.00 / $840.65	Facility		$309.30	$665.00	$840.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $624.53 / $2,250,000.00 / $2,400,000.00	Professional		$624.53	$2,250,000.00	$2,400,000.00