Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.92 / $4,704.00 / $8,728.00	Facility		$251.92	$4,704.00	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.77 / $239.99 / $290.68	Professional		$182.77	$239.99	$290.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $129.35 / $221.72 / $329.51	Facility		$129.35	$221.72	$329.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $168.12 / $222.64 / $234.50	Facility		$168.12	$222.64	$234.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.35 / $245.70 / $329.51	Facility		$134.35	$245.70	$329.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $5,130.00 / $7,233.00	Facility		$1,472.00	$5,130.00	$7,233.00