Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.75 / $4,684.68 / $8,728.00	Facility		$392.75	$4,684.68	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.80 / $763.80 / $2,006.26	Professional		$333.80	$763.80	$2,006.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.28 / $763.80 / $2,450.16	Facility		$234.28	$763.80	$2,450.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $344.07 / $1,535.37 / $1,837.81	Facility		$344.07	$1,535.37	$1,837.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.28 / $1,287.32 / $2,450.16	Facility		$234.28	$1,287.32	$2,450.16
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00