Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.08 / $619.08 / $619.08	Facility		$619.08	$619.08	$619.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.49 / $708.81 / $860.63	Professional		$602.49	$708.81	$860.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.02 / $578.36 / $832.15	Facility		$323.02	$578.36	$832.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $478.24 / $652.58 / $666.65	Facility		$478.24	$652.58	$666.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.49 / $641.52 / $852.09	Facility		$331.49	$641.52	$852.09
United Facility/Professional Facility Modifier Low / Median / High Price $456.95 / $456.95 / $456.95	Facility		$456.95	$456.95	$456.95