Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.64 / $2,747.00 / $7,920.26	Facility		$208.64	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.08 / $231.59 / $263.63	Professional		$164.08	$231.59	$263.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.55 / $206.51 / $297.88	Facility		$138.55	$206.51	$297.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $146.32 / $195.19 / $207.70	Facility		$146.32	$195.19	$207.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.55 / $223.03 / $295.27	Facility		$138.55	$223.03	$295.27
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