Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $616.60 / $21,877.62	Facility		$501.19	$616.60	$21,877.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $602.56	Professional		$346.74	$457.09	$602.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $416.87 / $851.14	Facility		$275.42	$416.87	$851.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $478.63 / $501.19	Facility		$398.11	$478.63	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $371.54 / $602.56	Facility		$263.03	$371.54	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95