Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.10 / $2,747.00 / $7,920.26	Facility		$341.10	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $317.42 / $466.36 / $2,002.82	Professional		$317.42	$466.36	$2,002.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $226.73 / $487.47 / $2,229.92	Facility		$226.73	$487.47	$2,229.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $333.66 / $1,577.75 / $1,723.24	Facility		$333.66	$1,577.75	$1,723.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $226.73 / $839.61 / $2,229.92	Facility		$226.73	$839.61	$2,229.92
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