Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $457.09 / $501.19	Facility		$309.03	$457.09	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $389.05 / $512.86	Professional		$295.12	$389.05	$512.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $309.03 / $512.86	Facility		$239.88	$309.03	$512.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $389.05 / $416.87	Facility		$338.84	$389.05	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $309.03 / $512.86	Facility		$218.78	$309.03	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52