Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.49 / $5,649.00 / $15,341.00	Facility		$879.49	$5,649.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $634.50 / $902.57 / $1,027.46	Professional		$634.50	$902.57	$1,027.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $391.41 / $770.54 / $1,158.51	Facility		$391.41	$770.54	$1,158.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $532.40 / $772.94 / $810.70	Facility		$532.40	$772.94	$810.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $391.41 / $840.32 / $1,158.51	Facility		$391.41	$840.32	$1,158.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00