Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.29 / $1,789.72 / $7,920.26	Facility		$118.29	$1,789.72	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.30 / $120.96 / $153.69	Professional		$89.30	$120.96	$153.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.41 / $117.86 / $183.60	Facility		$73.41	$117.86	$183.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $73.97 / $120.76 / $133.62	Facility		$73.97	$120.76	$133.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.41 / $127.72 / $183.60	Facility		$73.41	$127.72	$183.60
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