Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $709.31 / $2,747.00 / $7,920.26	Facility		$709.31	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $539.62 / $761.93 / $867.36	Professional		$539.62	$761.93	$867.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $330.42 / $675.23 / $1,015.21	Facility		$330.42	$675.23	$1,015.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $434.61 / $639.78 / $710.87	Facility		$434.61	$639.78	$710.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $330.42 / $736.38 / $1,015.21	Facility		$330.42	$736.38	$1,015.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00