Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.66 / $4,704.00 / $8,728.00	Facility		$167.66	$4,704.00	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.13 / $167.90 / $189.03	Professional		$119.13	$167.90	$189.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.51 / $163.75 / $246.20	Facility		$114.51	$163.75	$246.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $103.68 / $140.61 / $149.72	Facility		$103.68	$140.61	$149.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.51 / $181.05 / $2,724.00	Facility		$114.51	$181.05	$2,724.00
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