Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,737.80 / $6,606.93	Facility		$245.47	$1,737.80	$6,606.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $1,949.84	Professional		$208.93	$316.23	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,047.13 / $2,570.40	Facility		$162.18	$1,047.13	$2,570.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,445.44 / $1,548.82	Facility		$977.24	$1,445.44	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $776.25 / $1,862.09	Facility		$162.18	$776.25	$1,862.09
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