Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.39 / $4,283.46 / $8,728.00	Facility		$339.39	$4,283.46	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.08 / $423.26 / $2,003.49	Professional		$288.08	$423.26	$2,003.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $227.48 / $761.14 / $2,579.00	Facility		$227.48	$761.14	$2,579.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $303.51 / $1,576.56 / $1,896.10	Facility		$303.51	$1,576.56	$1,896.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $227.48 / $951.25 / $2,558.28	Facility		$227.48	$951.25	$2,558.28
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