Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $666.27 / $2,747.00 / $7,920.26	Facility		$666.27	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $518.04 / $728.40 / $829.19	Professional		$518.04	$728.40	$829.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $440.53 / $681.72 / $982.99	Facility		$440.53	$681.72	$982.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $491.28 / $631.07 / $684.08	Facility		$491.28	$631.07	$684.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $440.53 / $734.14 / $947.14	Facility		$440.53	$734.14	$947.14
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