Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,040.50 / $9,040.50 / $9,040.50	Facility		$9,040.50	$9,040.50	$9,040.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.22 / $134.83 / $193.00	Professional		$113.22	$134.83	$193.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.97 / $321.98 / $362.52	Professional		$257.97	$321.98	$362.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $193.00 / $241.73 / $414.95	Facility		$193.00	$241.73	$414.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $247.08 / $247.08 / $247.08	Professional		$247.08	$247.08	$247.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $170.45 / $256.72 / $284.08	Facility		$170.45	$256.72	$284.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.00 / $280.62 / $414.95	Facility		$193.00	$280.62	$414.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $290.18 / $2,250,000.00 / $2,400,000.00	Professional		$290.18	$2,250,000.00	$2,400,000.00