Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.55 / $6,155.60 / $8,728.00	Facility		$326.55	$6,155.60	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $315.85 / $447.84 / $509.80	Professional		$315.85	$447.84	$509.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $261.66 / $390.74 / $562.57	Facility		$261.66	$390.74	$562.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $384.76 / $409.37	Facility		$294.00	$384.76	$409.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $261.66 / $479.52 / $562.57	Facility		$261.66	$479.52	$562.57
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00