Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.11 / $487.67 / $632.99	Professional		$295.11	$487.67	$632.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $673.23 / $840.26 / $946.05	Professional		$673.23	$840.26	$946.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $487.67 / $732.29 / $1,469.10	Facility		$487.67	$732.29	$1,469.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,223.95 / $1,223.95 / $1,223.95	Professional		$1,223.95	$1,223.95	$1,223.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $605.87 / $708.79 / $856.52	Facility		$605.87	$708.79	$856.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $487.67 / $1,048.49 / $1,494.30	Facility		$487.67	$1,048.49	$1,494.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $850.90 / $2,250,000.00 / $2,400,000.00	Professional		$850.90	$2,250,000.00	$2,400,000.00