Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $38.02 / $7,943.28	Facility		$19.95	$38.02	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $31.62 / $38.90	Professional		$14.13	$31.62	$38.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $29.51 / $43.65	Facility		$20.42	$29.51	$43.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $29.51 / $32.36	Facility		$24.55	$29.51	$32.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $24.55 / $38.90	Facility		$17.78	$24.55	$38.90
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