Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.90 / $7,920.26 / $20,400.00	Facility		$201.90	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.24 / $205.81 / $231.72	Professional		$145.24	$205.81	$231.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.12 / $190.96 / $273.31	Facility		$127.12	$190.96	$273.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $133.24 / $176.93 / $187.00	Facility		$133.24	$176.93	$187.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.12 / $223.27 / $9,999.15	Facility		$127.12	$223.27	$9,999.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00