Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.66 / $656.80 / $8,900.75	Facility		$553.66	$656.80	$8,900.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $505.33 / $742.44 / $8,563.92	Professional		$505.33	$742.44	$8,563.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $367.29 / $3,227.14 / $9,802.20	Facility		$367.29	$3,227.14	$9,802.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $560.12 / $6,684.45 / $7,703.04	Facility		$560.12	$6,684.45	$7,703.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $367.29 / $5,758.34 / $11,046.11	Facility		$367.29	$5,758.34	$11,046.11