Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,000.00 / $7,943.28	Facility		$549.54	$1,000.00	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $812.83 / $1,023.29	Professional		$363.08	$812.83	$1,023.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $602.56 / $1,412.54	Facility		$524.81	$602.56	$1,412.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $794.33 / $831.76	Facility		$676.08	$794.33	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $562.34 / $1,000.00	Facility		$457.09	$562.34	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95