Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $501.19 / $6,606.93	Facility		$263.03	$501.19	$6,606.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $489.78	Professional		$213.80	$338.84	$489.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $263.03 / $4,677.35	Facility		$177.83	$263.03	$4,677.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $354.81 / $389.05	Facility		$251.19	$354.81	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $245.47 / $416.87	Facility		$147.91	$245.47	$416.87
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