Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.24 / $5,116.62 / $20,400.00	Facility		$276.24	$5,116.62	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.22 / $278.10 / $316.58	Professional		$197.22	$278.10	$316.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.60 / $240.30 / $361.29	Facility		$120.60	$240.30	$361.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $157.59 / $229.23 / $253.93	Facility		$157.59	$229.23	$253.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.60 / $262.06 / $361.29	Facility		$120.60	$262.06	$361.29
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $49.34 / $49.34 / $49.34	Facility	80	$49.34	$49.34	$49.34
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $41.94 / $41.94 / $41.94	Facility	AS	$41.94	$41.94	$41.94
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