Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,754.40 / $7,943.28	Facility		$3,162.28	$5,754.40	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $4,897.79 / $6,025.60	Professional		$2,238.72	$4,897.79	$6,025.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,467.37 / $7,943.28	Facility		$3,162.28	$3,467.37	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,570.88 / $4,786.30	Facility		$3,890.45	$4,570.88	$4,786.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,235.94 / $5,754.40	Facility		$2,570.40	$3,235.94	$5,754.40
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