Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.85 / $450.37 / $497.53	Facility		$417.85	$450.37	$497.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $322.39 / $454.39 / $511.59	Professional		$322.39	$454.39	$511.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $306.85 / $438.80 / $659.73	Facility		$306.85	$438.80	$659.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $291.25 / $392.74 / $422.28	Facility		$291.25	$392.74	$422.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $306.85 / $506.30 / $659.73	Facility		$306.85	$506.30	$659.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00