Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.45 / $2,747.00 / $7,920.26	Facility		$589.45	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $453.99 / $649.85 / $733.16	Professional		$453.99	$649.85	$733.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $420.60 / $622.78 / $904.29	Facility		$420.60	$622.78	$904.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $407.89 / $553.04 / $580.22	Facility		$407.89	$553.04	$580.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $420.60 / $655.93 / $784.91	Facility		$420.60	$655.93	$784.91
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