Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.03 / $169.58 / $272.00	Professional		$148.03	$169.58	$272.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $336.62 / $420.14 / $473.04	Professional		$336.62	$420.14	$473.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $272.00 / $340.68 / $584.79	Facility		$272.00	$340.68	$584.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $328.55 / $328.55 / $328.55	Professional		$328.55	$328.55	$328.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $221.90 / $334.94 / $369.84	Facility		$221.90	$334.94	$369.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $272.00 / $384.75 / $584.79	Facility		$272.00	$384.75	$584.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $417.86 / $2,250,000.00 / $2,400,000.00	Professional		$417.86	$2,250,000.00	$2,400,000.00