Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $416.87 / $6,606.93	Facility		$245.47	$416.87	$6,606.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $331.13 / $478.63	Professional		$208.93	$331.13	$478.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $245.47 / $4,677.35	Facility		$165.96	$245.47	$4,677.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $346.74 / $371.54	Facility		$245.47	$346.74	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $239.88 / $407.38	Facility		$144.54	$239.88	$407.38
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