Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $812.83 / $7,943.28	Facility		$436.52	$812.83	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $676.08 / $831.76	Professional		$302.00	$676.08	$831.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $630.96 / $954.99	Facility		$436.52	$630.96	$954.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $630.96 / $691.83	Facility		$537.03	$630.96	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $562.34 / $831.76	Facility		$380.19	$562.34	$831.76
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