Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.19 / $189.07 / $189.43	Professional		$145.19	$189.07	$189.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $431.84 / $538.99 / $606.85	Professional		$431.84	$538.99	$606.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $189.07 / $274.36 / $406.50	Facility		$189.07	$274.36	$406.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $280.20 / $18,772.80 / $33,200.80	Professional		$280.20	$18,772.80	$33,200.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $284.62 / $429.79 / $474.36	Facility		$284.62	$429.79	$474.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.07 / $300.70 / $469.75	Facility		$189.07	$300.70	$469.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $485.69 / $2,250,000.00 / $2,400,000.00	Professional		$485.69	$2,250,000.00	$2,400,000.00