Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $229.09	Professional		$134.90	$190.55	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $489.78 / $602.56	Professional		$380.19	$489.78	$602.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $245.47 / $389.05	Facility		$181.97	$245.47	$389.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $239.88	Professional		$128.82	$190.55	$239.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $457.09 / $478.63	Facility		$316.23	$457.09	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $251.19 / $363.08	Facility		$158.49	$251.19	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $691.83	Professional		$70.79	$79.43	$691.83