Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $363.08 / $6,606.93	Facility		$194.98	$363.08	$6,606.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $275.42 / $354.81	Professional		$154.88	$275.42	$354.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $208.93 / $354.81	Facility		$131.83	$208.93	$354.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $281.84 / $302.00	Facility		$218.78	$281.84	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $208.93 / $323.59	Facility		$144.54	$208.93	$323.59
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