Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.38 / $4,704.00 / $8,728.00	Facility		$394.38	$4,704.00	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $287.14 / $409.10 / $460.60	Professional		$287.14	$409.10	$460.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.81 / $373.98 / $522.04	Facility		$239.81	$373.98	$522.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $272.77 / $349.78 / $378.55	Facility		$272.77	$349.78	$378.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.81 / $399.64 / $515.59	Facility		$239.81	$399.64	$515.59
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