Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.09 / $100.09 / $1,955.46	Facility		$100.09	$100.09	$1,955.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.58 / $101.23 / $115.24	Professional		$71.58	$101.23	$115.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.96 / $126.76 / $376.98	Facility		$58.96	$126.76	$376.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $74.80 / $154.37 / $285.58	Facility		$74.80	$154.37	$285.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.96 / $118.42 / $376.98	Facility		$58.96	$118.42	$376.98
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