Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.39 / $4,684.68 / $8,728.00	Facility		$305.39	$4,684.68	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.93 / $288.82 / $349.61	Professional		$226.93	$288.82	$349.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.33 / $211.59 / $395.39	Facility		$165.33	$211.59	$395.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $199.49 / $279.68 / $299.49	Facility		$199.49	$279.68	$299.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.28 / $256.06 / $2,522.10	Facility		$168.28	$256.06	$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