Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $389.05 / $416.87	Facility		$218.78	$389.05	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $181.97 / $426.58	Professional		$79.43	$181.97	$426.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $309.03 / $436.52	Facility		$173.78	$309.03	$436.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $323.59 / $346.74	Facility		$275.42	$323.59	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $239.88 / $426.58	Facility		$109.65	$239.88	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95