Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,162.28 / $3,162.28	Facility		$691.83	$3,162.28	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $549.54 / $851.14	Professional		$467.74	$549.54	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,041.74	Professional		$1,862.09	$1,862.09	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $891.25	Professional		$436.52	$575.44	$891.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $776.25 / $1,096.48	Facility		$645.65	$776.25	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,023.29 / $2,089.30	Facility		$933.25	$1,023.29	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $1,023.29	Professional		$776.25	$912.01	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $851.14	Professional		$295.12	$295.12	$851.14