Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.92 / $2,747.00 / $7,920.26	Facility		$163.92	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.88 / $170.44 / $207.23	Professional		$144.88	$170.44	$207.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.82 / $151.80 / $228.62	Facility		$92.82	$151.80	$228.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $118.22 / $158.12 / $166.60	Facility		$118.22	$158.12	$166.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.78 / $169.36 / $228.62	Facility		$95.78	$169.36	$228.62
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $31.61 / $31.61 / $31.61	Facility	80	$31.61	$31.61	$31.61
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $26.87 / $26.87 / $26.87	Facility	AS	$26.87	$26.87	$26.87
United Facility/Professional Facility Modifier Low / Median / High Price $102.91 / $3,290.00 / $6,216.00	Facility		$102.91	$3,290.00	$6,216.00