Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.73 / $1,171.17 / $7,920.26	Facility		$265.73	$1,171.17	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $279.38 / $363.94 / $461.75	Professional		$279.38	$363.94	$461.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.17 / $296.57 / $493.85	Facility		$190.17	$296.57	$493.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $209.84 / $349.74 / $385.25	Facility		$209.84	$349.74	$385.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.17 / $365.20 / $493.85	Facility		$190.17	$365.20	$493.85
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