Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,311.31 / $3,311.31	Facility		$724.44	$3,311.31	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $891.25	Professional		$457.09	$562.34	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,137.96	Professional		$1,949.84	$1,949.84	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $891.25	Professional		$457.09	$575.44	$891.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $812.83 / $1,148.15	Facility		$660.69	$812.83	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,071.52 / $2,187.76	Facility		$977.24	$1,071.52	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $954.99 / $1,071.52	Professional		$812.83	$954.99	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $891.25	Professional		$309.03	$309.03	$891.25