Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $467.74 / $7,943.28	Facility		$100.00	$467.74	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $562.34	Professional		$87.10	$128.82	$562.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $199.53 / $467.74	Facility		$58.88	$199.53	$467.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $371.54 / $416.87	Facility		$257.04	$371.54	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $177.83 / $457.09	Facility		$58.88	$177.83	$457.09
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