Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,122.02 / $6,606.93	Facility		$269.15	$1,122.02	$6,606.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $1,148.15	Professional		$223.87	$338.84	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $489.78 / $1,071.52	Facility		$134.90	$489.78	$1,071.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $933.25 / $1,000.00	Facility		$630.96	$933.25	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $436.52 / $1,023.29	Facility		$131.83	$436.52	$1,023.29
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