Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,575.32 / $11,652.00 / $23,856.49	Facility		$3,575.32	$11,652.00	$23,856.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,710.71 / $3,807.97 / $4,334.87	Professional		$2,710.71	$3,807.97	$4,334.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,651.37 / $3,385.10 / $5,089.47	Facility		$1,651.37	$3,385.10	$5,089.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,222.32 / $3,302.15 / $3,615.99	Facility		$2,222.32	$3,302.15	$3,615.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,651.37 / $3,691.65 / $5,089.47	Facility		$1,651.37	$3,691.65	$5,089.47
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