Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $812.83 / $1,995.26	Facility		$537.03	$812.83	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $616.60 / $831.76	Professional		$275.42	$616.60	$831.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $512.86 / $851.14	Facility		$354.81	$512.86	$851.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $616.60 / $645.65	Facility		$524.81	$616.60	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $616.60 / $1,202.26	Facility		$354.81	$616.60	$1,202.26