Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.02 / $186.71 / $207.26	Facility		$172.02	$186.71	$207.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.77 / $190.51 / $214.89	Professional		$133.77	$190.51	$214.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.06 / $171.65 / $262.43	Facility		$122.06	$171.65	$262.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $116.28 / $157.08 / $166.83	Facility		$116.28	$157.08	$166.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.06 / $190.80 / $262.43	Facility		$122.06	$190.80	$262.43
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