Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,041.74 / $7,943.28	Facility		$1,071.52	$2,041.74	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,698.24 / $2,089.30	Professional		$794.33	$1,698.24	$2,089.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,202.26 / $7,943.28	Facility		$1,071.52	$1,202.26	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $1,659.59	Facility		$1,148.15	$1,548.82	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,995.26	Facility		$933.25	$1,122.02	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52