Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $204.17 / $7,943.28	Facility		$128.82	$204.17	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $141.25 / $208.93	Professional		$91.20	$141.25	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $125.89 / $239.88	Facility		$85.11	$125.89	$239.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $154.88 / $162.18	Facility		$120.23	$154.88	$162.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $123.03 / $190.55	Facility		$75.86	$123.03	$190.55
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