Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.11 / $150.01 / $171.36	Professional		$108.11	$150.01	$171.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.42 / $307.57 / $346.29	Professional		$246.42	$307.57	$346.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $150.01 / $233.94 / $396.74	Facility		$150.01	$233.94	$396.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $331.42 / $18,772.80 / $32,990.19	Professional		$331.42	$18,772.80	$32,990.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $221.72 / $259.43 / $679.68	Facility		$221.72	$259.43	$679.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $150.01 / $322.52 / $404.60	Facility		$150.01	$322.52	$404.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $283.41 / $2,250,000.00 / $2,400,000.00	Professional		$283.41	$2,250,000.00	$2,400,000.00