Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.30 / $12,274.80 / $21,735.00	Facility		$548.30	$12,274.80	$21,735.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $394.90 / $558.91 / $629.28	Professional		$394.90	$558.91	$629.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $289.61 / $502.25 / $708.08	Facility		$289.61	$502.25	$708.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $354.17 / $481.05 / $499.82	Facility		$354.17	$481.05	$499.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $289.61 / $605.90 / $9,325.04	Facility		$289.61	$605.90	$9,325.04
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $94.95 / $94.95 / $94.95	Facility	80	$94.95	$94.95	$94.95
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $80.70 / $80.70 / $80.70	Facility	AS	$80.70	$80.70	$80.70
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