Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,875.21 / $7,920.26	Facility		$2,747.00	$6,875.21	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,960.84 / $7,012.52 / $7,982.83	Professional		$4,960.84	$7,012.52	$7,982.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,041.06 / $6,014.01 / $9,042.04	Facility		$3,041.06	$6,014.01	$9,042.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,918.91 / $6,043.20 / $6,393.14	Facility		$3,918.91	$6,043.20	$6,393.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,041.06 / $6,558.63 / $9,042.04	Facility		$3,041.06	$6,558.63	$9,042.04
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $1,042.83 / $1,042.83 / $1,042.83	Facility	AS	$1,042.83	$1,042.83	$1,042.83
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