Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.15 / $4,962.67 / $15,341.00	Facility		$166.15	$4,962.67	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.52 / $176.88 / $321.95	Professional		$133.52	$176.88	$321.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.03 / $187.58 / $333.38	Facility		$97.03	$187.58	$333.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $135.66 / $253.12 / $286.27	Facility		$135.66	$253.12	$286.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.03 / $210.10 / $451.72	Facility		$97.03	$210.10	$451.72
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