Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $112.20 / $2,290.87	Facility		$57.54	$112.20	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $91.20 / $109.65	Professional		$45.71	$91.20	$109.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $102.33 / $323.59	Facility		$58.88	$102.33	$323.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $91.20 / $275.42	Facility		$74.13	$91.20	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $89.13 / $323.59	Facility		$48.98	$89.13	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95