Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $186.21	Professional		$70.79	$70.79	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $128.82	Professional		$85.11	$102.33	$128.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $125.89	Facility		$70.79	$70.79	$125.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $186.21	Professional		$70.79	$70.79	$186.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $95.50 / $97.72	Facility		$67.61	$95.50	$97.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $70.79 / $114.82	Facility		$67.61	$70.79	$114.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $125.89	Professional		$54.95	$79.43	$125.89