Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $389.05 / $6,606.93	Facility		$147.91	$389.05	$6,606.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $467.74	Professional		$109.65	$169.82	$467.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $186.21 / $426.58	Facility		$74.13	$186.21	$426.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $323.59 / $380.19	Facility		$223.87	$323.59	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $186.21 / $407.38	Facility		$74.13	$186.21	$407.38
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