Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.79 / $61.58 / $1,910.22	Facility		$56.79	$61.58	$1,910.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.09 / $56.70 / $64.55	Professional		$40.09	$56.70	$64.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.43 / $113.10 / $406.67	Facility		$56.43	$113.10	$406.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.70 / $168.04 / $317.67	Facility		$41.70	$168.04	$317.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.43 / $110.50 / $406.67	Facility		$56.43	$110.50	$406.67
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