Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.13 / $107.63 / $113.44	Professional		$98.13	$107.63	$113.44
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 $113.44 / $176.91 / $249.83	Facility		$113.44	$176.91	$249.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.24 / $208.24 / $208.24	Professional		$208.24	$208.24	$208.24
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 $113.44 / $205.32 / $254.15	Facility		$113.44	$205.32	$254.15
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