Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.65 / $7,920.26 / $13,496.00	Facility		$522.65	$7,920.26	$13,496.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $377.48 / $533.87 / $607.74	Professional		$377.48	$533.87	$607.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $231.52 / $455.43 / $684.73	Facility		$231.52	$455.43	$684.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $296.31 / $459.84 / $485.75	Facility		$296.31	$459.84	$485.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $231.52 / $496.67 / $684.73	Facility		$231.52	$496.67	$684.73
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