Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $588.84 / $7,943.28	Facility		$316.23	$588.84	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $478.63 / $602.56	Professional		$208.93	$478.63	$602.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $457.09 / $13,489.63	Facility		$316.23	$457.09	$13,489.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $457.09 / $489.78	Facility		$398.11	$457.09	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $331.13 / $588.84	Facility		$245.47	$331.13	$588.84
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