Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $831.76 / $7,943.28	Facility		$467.74	$831.76	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $691.83 / $851.14	Professional		$309.03	$691.83	$851.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $512.86 / $7,943.28	Facility		$467.74	$512.86	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $660.69 / $691.83	Facility		$478.63	$660.69	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $478.63 / $851.14	Facility		$354.81	$478.63	$851.14
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