Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.80 / $7,920.26 / $13,496.00	Facility		$460.80	$7,920.26	$13,496.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $327.38 / $461.70 / $525.58	Professional		$327.38	$461.70	$525.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $200.22 / $412.04 / $634.47	Facility		$200.22	$412.04	$634.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $270.12 / $398.81 / $440.19	Facility		$270.12	$398.81	$440.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.22 / $460.21 / $634.47	Facility		$200.22	$460.21	$634.47
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