Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.15 / $2,747.00 / $7,920.26	Facility		$860.15	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $704.86 / $998.57 / $1,124.29	Professional		$704.86	$998.57	$1,124.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $642.14 / $887.12 / $1,380.60	Facility		$642.14	$887.12	$1,380.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $596.64 / $851.57 / $908.52	Facility		$596.64	$851.57	$908.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $642.14 / $1,088.13 / $1,380.60	Facility		$642.14	$1,088.13	$1,380.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00