Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.81 / $371.81 / $546.64	Facility		$371.81	$371.81	$546.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $413.49 / $489.33 / $564.64	Professional		$413.49	$489.33	$564.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.95 / $337.09 / $546.54	Facility		$208.95	$337.09	$546.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $313.47 / $432.80 / $440.86	Facility		$313.47	$432.80	$440.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.95 / $397.76 / $563.77	Facility		$208.95	$397.76	$563.77