Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $204.17 / $7,943.28	Facility		$123.03	$204.17	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $190.55	Professional		$117.49	$154.88	$190.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $123.03 / $199.53	Facility		$81.28	$123.03	$199.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $158.49 / $165.96	Facility		$134.90	$158.49	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $123.03 / $199.53	Facility		$77.62	$123.03	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,071.52 / $6,165.95	Facility		$151.36	$1,071.52	$6,165.95