Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $870.96 / $1,584.89	Facility		$338.84	$870.96	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $416.87	Professional		$229.09	$269.15	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,000.00	Professional		$912.01	$912.01	$1,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $436.52	Professional		$213.80	$288.40	$436.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $380.19 / $549.54	Facility		$316.23	$380.19	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $501.19 / $1,023.29	Facility		$467.74	$501.19	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $501.19	Professional		$380.19	$457.09	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $416.87	Professional		$147.91	$147.91	$416.87