Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.30 / $182.97 / $222.85	Professional		$114.30	$182.97	$222.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $284.30 / $348.51 / $399.51	Professional		$284.30	$348.51	$399.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $182.97 / $295.12 / $502.15	Facility		$182.97	$295.12	$502.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $414.05 / $414.05 / $414.05	Professional		$414.05	$414.05	$414.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $180.50 / $277.18 / $300.83	Facility		$180.50	$277.18	$300.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $182.97 / $393.39 / $511.70	Facility		$182.97	$393.39	$511.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $339.89 / $2,250,000.00 / $2,400,000.00	Professional		$339.89	$2,250,000.00	$2,400,000.00