Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.48 / $5,116.62 / $20,400.00	Facility		$2,220.48	$5,116.62	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,610.94 / $2,287.89 / $2,604.46	Professional		$1,610.94	$2,287.89	$2,604.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $992.17 / $1,940.14 / $2,916.99	Facility		$992.17	$1,940.14	$2,916.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,238.16 / $1,866.65 / $2,063.60	Facility		$1,238.16	$1,866.65	$2,063.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $992.17 / $2,115.84 / $2,916.99	Facility		$992.17	$2,115.84	$2,916.99
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $336.03 / $336.03 / $336.03	Facility	AS	$336.03	$336.03	$336.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00