Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.54 / $4,283.46 / $8,728.00	Facility		$295.54	$4,283.46	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $249.92 / $367.19 / $1,192.21	Professional		$249.92	$367.19	$1,192.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $197.95 / $455.75 / $1,284.34	Facility		$197.95	$455.75	$1,284.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $262.64 / $877.70 / $990.26	Facility		$262.64	$877.70	$990.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $197.95 / $559.10 / $1,293.16	Facility		$197.95	$559.10	$1,293.16
United Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $1,078.00 / $5,183.00	Facility		$177.00	$1,078.00	$5,183.00