Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.64 / $4,684.68 / $8,728.00	Facility		$193.64	$4,684.68	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.41 / $184.38 / $204.78	Professional		$140.41	$184.38	$204.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.27 / $142.59 / $240.66	Facility		$90.27	$142.59	$240.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $123.48 / $168.33 / $174.20	Facility		$123.48	$168.33	$174.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.68 / $182.01 / $221.39	Facility		$98.68	$182.01	$221.39
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00