Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $169.82 / $6,606.93	Facility		$89.13	$169.82	$6,606.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $173.78	Professional		$69.18	$93.33	$173.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $87.10 / $181.97	Facility		$44.67	$87.10	$181.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $131.83 / $144.54	Facility		$104.71	$131.83	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $91.20 / $151.36	Facility		$51.29	$91.20	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95