Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $134.90 / $257.04	Professional		$117.49	$134.90	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $295.12 / $363.08	Professional		$229.09	$295.12	$363.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $194.98 / $302.00	Facility		$123.03	$194.98	$302.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $263.03	Professional		$114.82	$138.04	$263.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $269.15 / $281.84	Facility		$199.53	$269.15	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $194.98 / $295.12	Facility		$123.03	$194.98	$295.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $407.38	Professional		$70.79	$79.43	$407.38