Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.51 / $4,684.68 / $8,728.00	Facility		$300.51	$4,684.68	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.33 / $285.89 / $348.91	Professional		$215.33	$285.89	$348.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $159.07 / $228.01 / $432.26	Facility		$159.07	$228.01	$432.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $215.60 / $283.29 / $322.27	Facility		$215.60	$283.29	$322.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.37 / $272.69 / $2,522.10	Facility		$175.37	$272.69	$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