Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.39 / $1,820.75 / $18,193.36	Facility		$453.39	$1,820.75	$18,193.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $443.45 / $628.80 / $715.82	Professional		$443.45	$628.80	$715.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $368.61 / $619.99 / $981.65	Facility		$368.61	$619.99	$981.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $466.63 / $570.84 / $770.84	Facility		$466.63	$570.84	$770.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $368.61 / $738.99 / $954.55	Facility		$368.61	$738.99	$954.55
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $8,852.00 / $13,399.00	Facility		$376.00	$8,852.00	$13,399.00