Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $891.25 / $6,606.93	Facility		$288.40	$891.25	$6,606.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $912.01	Professional		$234.42	$354.81	$912.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $407.38 / $1,071.52	Facility		$144.54	$407.38	$1,071.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $741.31 / $1,096.48	Facility		$616.60	$741.31	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $363.08 / $1,023.29	Facility		$138.04	$363.08	$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