Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $630.96 / $7,943.28	Facility		$524.81	$630.96	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $537.03 / $660.69	Professional		$239.88	$537.03	$660.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $489.78 / $7,943.28	Facility		$346.74	$489.78	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $501.19 / $524.81	Facility		$380.19	$501.19	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $363.08 / $630.96	Facility		$275.42	$363.08	$630.96
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