Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.92 / $4,704.00 / $8,728.00	Facility		$350.92	$4,704.00	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.78 / $361.11 / $406.57	Professional		$254.78	$361.11	$406.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $221.03 / $316.07 / $475.21	Facility		$221.03	$316.07	$475.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $215.16 / $310.37 / $327.63	Facility		$215.16	$310.37	$327.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $221.03 / $392.59 / $475.21	Facility		$221.03	$392.59	$475.21
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