Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,778.28 / $7,943.28	Facility		$977.24	$1,778.28	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,445.44 / $1,819.70	Professional		$645.65	$1,445.44	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,071.52 / $7,943.28	Facility		$977.24	$1,071.52	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,479.11	Facility		$1,023.29	$1,380.38	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,778.28	Facility		$741.31	$1,000.00	$1,778.28
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