Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.69 / $727.69 / $727.69	Facility		$727.69	$727.69	$727.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.88 / $832.80 / $1,010.31	Professional		$707.88	$832.80	$1,010.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $376.74 / $690.46 / $983.45	Facility		$376.74	$690.46	$983.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $564.92 / $761.79 / $787.25	Facility		$564.92	$761.79	$787.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.14 / $760.57 / $994.54	Facility		$389.14	$760.57	$994.54
United Facility/Professional Facility Modifier Low / Median / High Price $857.82 / $857.82 / $857.82	Facility		$857.82	$857.82	$857.82