Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.35 / $5,116.62 / $20,400.00	Facility		$240.35	$5,116.62	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.70 / $257.27 / $426.63	Professional		$186.70	$257.27	$426.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.77 / $260.75 / $418.51	Facility		$147.77	$260.75	$418.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $188.50 / $334.74 / $375.36	Facility		$188.50	$334.74	$375.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.60 / $285.80 / $5,217.00	Facility		$154.60	$285.80	$5,217.00
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00