Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,862.09 / $6,606.93	Facility		$338.84	$1,862.09	$6,606.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $1,995.26	Professional		$275.42	$426.58	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,148.15 / $2,818.38	Facility		$229.09	$1,148.15	$2,818.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $1,737.80	Facility		$1,122.02	$1,584.89	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $794.33 / $2,041.74	Facility		$223.87	$794.33	$2,041.74
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