Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $288.40 / $7,943.28	Facility		$239.88	$288.40	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $245.47 / $295.12	Professional		$107.15	$245.47	$295.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $223.87 / $7,943.28	Facility		$158.49	$223.87	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $223.87 / $245.47	Facility		$199.53	$223.87	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $165.96 / $288.40	Facility		$123.03	$165.96	$288.40
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