Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.12 / $79.59 / $156.25	Professional		$73.12	$79.59	$156.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.19 / $531.94 / $598.91	Professional		$426.19	$531.94	$598.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $156.25 / $179.01 / $335.94	Facility		$156.25	$179.01	$335.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $152.97 / $17,150.38 / $18,772.80	Professional		$152.97	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $383.60 / $448.69 / $469.00	Facility		$383.60	$448.69	$469.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $150.75 / $183.43 / $442.06	Facility		$150.75	$183.43	$442.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $463.20 / $2,250,000.00 / $2,400,000.00	Professional		$463.20	$2,250,000.00	$2,400,000.00