Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $741.31 / $7,943.28	Facility		$407.38	$741.31	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $630.96 / $758.58	Professional		$281.84	$630.96	$758.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $575.44 / $870.96	Facility		$407.38	$575.44	$870.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $588.84 / $630.96	Facility		$501.19	$588.84	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $501.19 / $776.25	Facility		$346.74	$501.19	$776.25
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