Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.84 / $4,704.00 / $8,728.00	Facility		$387.84	$4,704.00	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.00 / $398.63 / $453.79	Professional		$282.00	$398.63	$453.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $238.27 / $354.92 / $512.28	Facility		$238.27	$354.92	$512.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $256.79 / $343.54 / $357.11	Facility		$256.79	$343.54	$357.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $238.27 / $387.74 / $490.57	Facility		$238.27	$387.74	$490.57
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