Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $7,762.47 / $7,943.28	Facility		$4,168.69	$7,762.47	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $6,456.54 / $7,943.28	Professional		$2,951.21	$6,456.54	$7,943.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,570.88 / $9,120.11	Facility		$4,168.69	$4,570.88	$9,120.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $6,025.60 / $6,456.54	Facility		$5,128.61	$6,025.60	$6,456.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,365.16 / $7,762.47	Facility		$3,467.37	$4,365.16	$7,762.47
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