Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,090.30 / $3,162.28	Facility		$676.08	$3,090.30	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $549.54 / $831.76	Professional		$457.09	$549.54	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,995.26	Professional		$1,862.09	$1,862.09	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
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 $630.96 / $776.25 / $1,096.48	Facility		$630.96	$776.25	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,000.00 / $2,089.30	Facility		$933.25	$1,000.00	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $1,000.00	Professional		$776.25	$912.01	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $831.76	Professional		$295.12	$295.12	$831.76