Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,425.78 / $11,652.00 / $23,856.49	Facility		$4,425.78	$11,652.00	$23,856.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,450.97 / $4,855.67 / $5,527.54	Professional		$3,450.97	$4,855.67	$5,527.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,105.71 / $4,186.43 / $6,294.28	Facility		$2,105.71	$4,186.43	$6,294.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,926.14 / $4,203.91 / $4,479.62	Facility		$2,926.14	$4,203.91	$4,479.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,105.71 / $4,565.55 / $6,294.28	Facility		$2,105.71	$4,565.55	$6,294.28
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