Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.20 / $5,957.50 / $13,320.00	Facility		$265.20	$5,957.50	$13,320.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.89 / $351.31 / $395.54	Professional		$247.89	$351.31	$395.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $215.62 / $325.49 / $463.58	Facility		$215.62	$325.49	$463.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $226.75 / $299.00 / $319.58	Facility		$226.75	$299.00	$319.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $215.62 / $380.70 / $5,626.00	Facility		$215.62	$380.70	$5,626.00
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