Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.59 / $1,671.50 / $7,920.26	Facility		$481.59	$1,671.50	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $486.25 / $687.45 / $782.57	Professional		$486.25	$687.45	$782.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $391.54 / $610.61 / $856.85	Facility		$391.54	$610.61	$856.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $451.07 / $592.33 / $627.79	Facility		$451.07	$592.33	$627.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $391.54 / $648.59 / $841.81	Facility		$391.54	$648.59	$841.81
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00