Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $512.86 / $7,943.28	Facility		$295.12	$512.86	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $407.38 / $524.81	Professional		$177.83	$407.38	$524.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $398.11 / $13,489.63	Facility		$281.84	$398.11	$13,489.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $398.11 / $436.52	Facility		$338.84	$398.11	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $295.12 / $512.86	Facility		$208.93	$295.12	$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