Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility		$3,981.07	$3,981.07	$3,981.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $338.84	Facility		$199.53	$199.53	$338.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility		$3,981.07	$3,981.07	$3,981.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,995.26 / $6,309.57	Facility		$501.19	$1,995.26	$6,309.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,174.90 / $6,165.95	Facility		$489.78	$1,174.90	$6,165.95