Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $346.74 / $6,606.93	Facility		$75.86	$346.74	$6,606.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $338.84	Professional		$60.26	$93.33	$338.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $131.83 / $295.12	Facility		$41.69	$131.83	$295.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $229.09 / $281.84	Facility		$165.96	$229.09	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $128.82 / $281.84	Facility		$41.69	$128.82	$281.84
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