Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.99 / $1,396.00 / $7,920.26	Facility		$136.99	$1,396.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.81 / $152.76 / $191.79	Professional		$115.81	$152.76	$191.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.47 / $151.88 / $226.10	Facility		$94.47	$151.88	$226.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $100.50 / $151.41 / $164.40	Facility		$100.50	$151.41	$164.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.47 / $158.69 / $226.10	Facility		$94.47	$158.69	$226.10
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00