Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.86 / $2,747.00 / $7,920.26	Facility		$30.86	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $34.43 / $39.19	Professional		$24.40	$34.43	$39.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.48 / $31.05 / $44.43	Facility		$20.48	$31.05	$44.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.77 / $29.73 / $32.15	Facility		$22.77	$29.73	$32.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.48 / $34.13 / $44.03	Facility		$20.48	$34.13	$44.03
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $6.17 / $6.17 / $6.17	Facility	80	$6.17	$6.17	$6.17
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $5.24 / $5.24 / $5.24	Facility	AS	$5.24	$5.24	$5.24
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00