Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.12 / $252.00 / $336.00	Facility		$209.12	$252.00	$336.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.00 / $218.49 / $254.73	Professional		$186.00	$218.49	$254.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,346.00 / $4,845.79 / $5,085.88	Facility		$4,346.00	$4,845.79	$5,085.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $107.83 / $164.15 / $252.00	Facility		$107.83	$164.15	$252.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $244.20 / $3,232.79 / $5,085.88	Facility		$244.20	$3,232.79	$5,085.88