Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.13 / $126.64 / $130.02	Professional		$92.13	$126.64	$130.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $296.45 / $369.99 / $416.60	Professional		$296.45	$369.99	$416.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.64 / $174.51 / $272.27	Facility		$126.64	$174.51	$272.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $178.44 / $18,772.80 / $33,200.80	Professional		$178.44	$18,772.80	$33,200.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $266.72 / $312.12 / $1,183.28	Facility		$266.72	$312.12	$1,183.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.64 / $197.50 / $322.48	Facility		$126.64	$197.50	$322.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $311.12 / $2,250,000.00 / $2,400,000.00	Professional		$311.12	$2,250,000.00	$2,400,000.00