Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.19 / $2,050.62 / $2,787.41	Facility		$215.19	$2,050.62	$2,787.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.16 / $217.75 / $247.88	Professional		$154.16	$217.75	$247.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.11 / $194.03 / $283.20	Facility		$126.11	$194.03	$283.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $136.63 / $187.80 / $198.25	Facility		$136.63	$187.80	$198.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.11 / $231.26 / $283.20	Facility		$126.11	$231.26	$283.20
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