Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,260.67 / $2,260.67 / $2,749.95	Facility		$2,260.67	$2,260.67	$2,749.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $57.50 / $84.00	Professional		$52.85	$57.50	$84.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.19 / $153.76 / $173.12	Professional		$123.19	$153.76	$173.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.00 / $108.79 / $180.60	Facility		$84.00	$108.79	$180.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.51 / $111.51 / $111.51	Professional		$111.51	$111.51	$111.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.20 / $122.63 / $135.34	Facility		$81.20	$122.63	$135.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.00 / $127.72 / $180.60	Facility		$84.00	$127.72	$180.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.57 / $2,250,000.00 / $2,400,000.00	Professional		$138.57	$2,250,000.00	$2,400,000.00