Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $150.72 / $150.72	Professional		$132.00	$150.72	$150.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.73 / $392.81 / $442.27	Professional		$314.73	$392.81	$442.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $150.72 / $235.06 / $324.07	Facility		$150.72	$235.06	$324.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $255.43 / $17,150.38 / $18,772.80	Professional		$255.43	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $283.18 / $331.38 / $345.72	Facility		$283.18	$331.38	$345.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $150.72 / $253.06 / $326.74	Facility		$150.72	$253.06	$326.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $353.98 / $2,250,000.00 / $2,400,000.00	Professional		$353.98	$2,250,000.00	$2,400,000.00