Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.83 / $7,920.26 / $20,400.00	Facility		$290.83	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.96 / $307.12 / $475.82	Professional		$207.96	$307.12	$475.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.44 / $306.66 / $501.32	Facility		$173.44	$306.66	$501.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $238.83 / $379.75 / $433.16	Facility		$238.83	$379.75	$433.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $187.61 / $324.00 / $5,217.00	Facility		$187.61	$324.00	$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