Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,782.12 / $9,782.12 / $9,782.12	Facility		$9,782.12	$9,782.12	$9,782.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.21 / $101.40 / $178.00	Professional		$93.21	$101.40	$178.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $224.97 / $280.79 / $316.14	Professional		$224.97	$280.79	$316.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $178.00 / $222.95 / $382.70	Facility		$178.00	$222.95	$382.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $196.57 / $196.57 / $196.57	Professional		$196.57	$196.57	$196.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $147.94 / $223.82 / $246.56	Facility		$147.94	$223.82	$246.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.00 / $230.04 / $382.70	Facility		$178.00	$230.04	$382.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $253.13 / $2,250,000.00 / $2,400,000.00	Professional		$253.13	$2,250,000.00	$2,400,000.00