Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.51 / $2,747.00 / $7,920.26	Facility		$612.51	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $479.14 / $672.48 / $765.53	Professional		$479.14	$672.48	$765.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $404.01 / $630.04 / $912.64	Facility		$404.01	$630.04	$912.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $453.49 / $583.67 / $633.08	Facility		$453.49	$583.67	$633.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $404.01 / $673.28 / $868.62	Facility		$404.01	$673.28	$868.62
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00