Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,472.39 / $2,747.00 / $7,920.26	Facility		$1,472.39	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,144.55 / $1,618.59 / $1,842.55	Professional		$1,144.55	$1,618.59	$1,842.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $701.92 / $1,401.00 / $2,106.40	Facility		$701.92	$1,401.00	$2,106.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $884.00 / $1,330.07 / $1,473.33	Facility		$884.00	$1,330.07	$1,473.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $701.92 / $1,527.87 / $2,106.40	Facility		$701.92	$1,527.87	$2,106.40
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