Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,960.72 / $4,960.72 / $6,454.91	Facility		$4,960.72	$4,960.72	$6,454.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.20 / $54.61 / $73.09	Professional		$46.20	$54.61	$73.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.36 / $117.24 / $144.79	Professional		$100.36	$117.24	$144.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.63 / $81.16 / $159.36	Facility		$59.63	$81.16	$159.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.62 / $115.62 / $132.94	Professional		$115.62	$115.62	$132.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $92.74 / $108.46 / $113.23	Facility		$92.74	$108.46	$113.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.63 / $81.39 / $161.28	Facility		$59.63	$81.39	$161.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.93 / $2,250,000.00 / $2,400,000.00	Professional		$127.93	$2,250,000.00	$2,400,000.00