Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.67 / $2,747.00 / $7,920.26	Facility		$381.67	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $298.24 / $418.28 / $476.15	Professional		$298.24	$418.28	$476.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.53 / $392.26 / $569.24	Facility		$251.53	$392.26	$569.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $282.45 / $363.31 / $393.96	Facility		$282.45	$363.31	$393.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.53 / $419.17 / $540.79	Facility		$251.53	$419.17	$540.79
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