Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $288.40 / $7,943.28	Facility		$234.42	$288.40	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $269.15	Professional		$162.18	$208.93	$269.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $169.82 / $281.84	Facility		$117.49	$169.82	$281.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $223.87 / $234.42	Facility		$190.55	$223.87	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $169.82 / $275.42	Facility		$107.15	$169.82	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $4,897.79 / $7,413.10	Facility		$676.08	$4,897.79	$7,413.10