Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.31 / $5,116.62 / $93,424.48	Facility		$455.31	$5,116.62	$93,424.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.65 / $472.63 / $532.13	Professional		$331.65	$472.63	$532.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $283.77 / $441.69 / $610.13	Facility		$283.77	$441.69	$610.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $311.52 / $404.01 / $436.84	Facility		$311.52	$404.01	$436.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $283.77 / $513.91 / $610.13	Facility		$283.77	$513.91	$610.13
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $82.23 / $82.23 / $82.23	Facility	80	$82.23	$82.23	$82.23
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $69.89 / $69.89 / $69.89	Facility	AS	$69.89	$69.89	$69.89
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