Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $60.26	Professional		$38.02	$44.67	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $120.23	Professional		$75.86	$97.72	$120.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $64.57 / $107.15	Facility		$43.65	$64.57	$107.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $74.13	Professional		$37.15	$43.65	$74.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $89.13 / $93.33	Facility		$63.10	$89.13	$93.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $60.26 / $104.71	Facility		$42.66	$60.26	$104.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $134.90	Professional		$70.79	$79.43	$134.90