Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $3,311.31 / $20,892.96	Facility		$524.81	$3,311.31	$20,892.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $575.44 / $741.31	Professional		$257.04	$575.44	$741.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $794.33 / $19,952.62	Facility		$389.05	$794.33	$19,952.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $575.44 / $831.76	Facility		$489.78	$575.44	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $524.81 / $977.24	Facility		$295.12	$524.81	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $47,863.01 / $61,659.50	Facility		$1,071.52	$47,863.01	$61,659.50