Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.27 / $395.99 / $435.37	Professional		$298.27	$395.99	$435.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $679.97 / $848.68 / $955.53	Professional		$679.97	$848.68	$955.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $395.99 / $617.54 / $1,010.11	Facility		$395.99	$617.54	$1,010.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $842.01 / $842.01 / $842.01	Professional		$842.01	$842.01	$842.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $448.63 / $676.58 / $747.72	Facility		$448.63	$676.58	$747.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $395.99 / $823.09 / $1,027.65	Facility		$395.99	$823.09	$1,027.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $764.89 / $2,250,000.00 / $2,400,000.00	Professional		$764.89	$2,250,000.00	$2,400,000.00