Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,096.48 / $7,943.28	Facility		$645.65	$1,096.48	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,122.02	Professional		$630.96	$831.76	$1,122.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $645.65 / $1,380.38	Facility		$457.09	$645.65	$1,380.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $851.14 / $912.01	Facility		$645.65	$851.14	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $645.65 / $1,096.48	Facility		$446.68	$645.65	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52