Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.71 / $4,962.67 / $15,341.00	Facility		$378.71	$4,962.67	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $324.35 / $380.99 / $455.80	Professional		$324.35	$380.99	$455.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $242.48 / $323.61 / $430.95	Facility		$242.48	$323.61	$430.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $338.35 / $354.43	Facility		$250.00	$338.35	$354.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $242.48 / $336.96 / $521.33	Facility		$242.48	$336.96	$521.33
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