Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,943.28 / $8,128.31	Facility		$4,365.16	$7,943.28	$8,128.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $6,760.83 / $8,317.64	Professional		$3,090.30	$6,760.83	$8,317.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,786.30 / $9,332.54	Facility		$4,365.16	$4,786.30	$9,332.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $6,309.57 / $6,606.93	Facility		$5,370.32	$6,309.57	$6,606.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,570.88 / $7,943.28	Facility		$3,548.13	$4,570.88	$7,943.28
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