Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $123.03	Facility		$85.11	$85.11	$123.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $234.42	Professional		$147.91	$186.21	$234.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $123.03 / $229.09	Facility		$79.43	$123.03	$229.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $181.97 / $186.21	Facility		$151.36	$181.97	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $123.03 / $229.09	Facility		$83.18	$123.03	$229.09