Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.21 / $4,283.46 / $20,400.00	Facility		$650.21	$4,283.46	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $468.19 / $664.02 / $755.90	Professional		$468.19	$664.02	$755.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $287.95 / $662.11 / $1,032.33	Facility		$287.95	$662.11	$1,032.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $492.80 / $600.32 / $829.46	Facility		$492.80	$600.32	$829.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $287.95 / $755.94 / $1,032.33	Facility		$287.95	$755.94	$1,032.33
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $733.94 / $733.94 / $733.94	Facility	80	$733.94	$733.94	$733.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $36,056.00 / $61,876.00	Facility		$1,078.00	$36,056.00	$61,876.00