Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.76 / $4,684.68 / $8,728.00	Facility		$219.76	$4,684.68	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.71 / $211.92 / $258.80	Professional		$158.71	$211.92	$258.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.19 / $161.54 / $275.83	Facility		$117.19	$161.54	$275.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $160.37 / $207.19 / $227.13	Facility		$160.37	$207.19	$227.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $124.44 / $185.50 / $2,522.10	Facility		$124.44	$185.50	$2,522.10
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