Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.17 / $1,495.19 / $1,615.98	Facility		$663.17	$1,495.19	$1,615.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $620.97 / $746.18 / $841.11	Professional		$620.97	$746.18	$841.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $399.86 / $623.58 / $859.70	Facility		$399.86	$623.58	$859.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $445.53 / $611.04 / $638.51	Facility		$445.53	$611.04	$638.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $571.79 / $792.17 / $1,095.95	Facility		$571.79	$792.17	$1,095.95