Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.24 / $1,524.00 / $8,857.36	Facility		$137.24	$1,524.00	$8,857.36
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $94.05 / $803.25 / $5,410.59	Facility	50	$94.05	$803.25	$5,410.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $337.94 / $417.82 / $498.96	Professional		$337.94	$417.82	$498.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $249.61 / $317.14 / $582.20	Facility		$249.61	$317.14	$582.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $301.83 / $411.68 / $427.72	Facility		$301.83	$411.68	$427.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $249.61 / $380.96 / $582.20	Facility		$249.61	$380.96	$582.20
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