Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.95 / $4,684.68 / $8,728.00	Facility		$313.95	$4,684.68	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.57 / $355.10 / $450.77	Professional		$270.57	$355.10	$450.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $183.28 / $286.72 / $483.65	Facility		$183.28	$286.72	$483.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $201.89 / $339.02 / $374.53	Facility		$201.89	$339.02	$374.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.28 / $354.41 / $483.65	Facility		$183.28	$354.41	$483.65
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00