Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $229.09 / $15,848.93	Facility		$186.21	$229.09	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $223.87	Professional		$128.82	$169.82	$223.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $151.36 / $323.59	Facility		$100.00	$151.36	$323.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $177.83 / $186.21	Facility		$151.36	$177.83	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $125.89 / $223.87	Facility		$95.50	$125.89	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $26,302.68	Facility		$3,019.95	$20,892.96	$26,302.68