Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.10 / $104.88 / $104.88	Professional		$90.10	$104.88	$104.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.04 / $257.16 / $289.54	Professional		$206.04	$257.16	$289.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.88 / $163.56 / $232.40	Facility		$104.88	$163.56	$232.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $193.71 / $18,772.80 / $33,249.92	Professional		$193.71	$18,772.80	$33,249.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $185.49 / $216.93 / $856.52	Facility		$185.49	$216.93	$856.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.88 / $207.90 / $236.30	Facility		$104.88	$207.90	$236.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $231.87 / $2,250,000.00 / $2,400,000.00	Professional		$231.87	$2,250,000.00	$2,400,000.00