Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.27 / $3,362.93 / $7,920.26	Facility		$653.27	$3,362.93	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $600.44 / $882.18 / $4,145.91	Professional		$600.44	$882.18	$4,145.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $434.41 / $986.69 / $5,130.60	Facility		$434.41	$986.69	$5,130.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $655.26 / $3,169.77 / $3,781.48	Facility		$655.26	$3,169.77	$3,781.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $434.41 / $1,738.02 / $5,130.60	Facility		$434.41	$1,738.02	$5,130.60
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