Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,174.90 / $6,606.93	Facility		$128.82	$1,174.90	$6,606.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $457.09 / $1,148.15	Professional		$100.00	$457.09	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $489.78 / $4,677.35	Facility		$79.43	$489.78	$4,677.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $933.25 / $1,288.25	Facility		$776.25	$933.25	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $446.68 / $1,230.27	Facility		$66.07	$446.68	$1,230.27
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