Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.60 / $69.20 / $69.20	Professional		$61.60	$69.20	$69.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.27 / $175.06 / $197.11	Professional		$140.27	$175.06	$197.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.20 / $107.93 / $149.60	Facility		$69.20	$107.93	$149.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $122.47 / $17,150.38 / $18,772.80	Professional		$122.47	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $92.46 / $139.51 / $154.10	Facility		$92.46	$139.51	$154.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.20 / $120.17 / $149.60	Facility		$69.20	$120.17	$149.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.78 / $2,250,000.00 / $2,400,000.00	Professional		$157.78	$2,250,000.00	$2,400,000.00