Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.23 / $339.27 / $339.27	Professional		$89.23	$339.27	$339.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,064.72 / $1,328.89 / $1,496.20	Professional		$1,064.72	$1,328.89	$1,496.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.37 / $339.27 / $729.43	Facility		$186.37	$339.27	$729.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.69 / $17,150.38 / $18,772.80	Professional		$173.69	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $958.19 / $1,120.96 / $1,169.82	Facility		$958.19	$1,120.96	$1,169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $171.21 / $339.27 / $1,104.83	Facility		$171.21	$339.27	$1,104.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,097.59 / $2,250,000.00 / $2,400,000.00	Professional		$1,097.59	$2,250,000.00	$2,400,000.00