Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.10 / $288.95 / $288.95	Professional		$258.10	$288.95	$288.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.52 / $734.54 / $827.01	Professional		$588.52	$734.54	$827.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $288.95 / $450.63 / $622.20	Facility		$288.95	$450.63	$622.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $510.59 / $510.59 / $510.59	Professional		$510.59	$510.59	$510.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $529.59 / $619.58 / $856.52	Facility		$529.59	$619.58	$856.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.95 / $547.22 / $640.12	Facility		$288.95	$547.22	$640.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $661.99 / $2,250,000.00 / $2,400,000.00	Professional		$661.99	$2,250,000.00	$2,400,000.00