Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,453.71 / $7,920.26 / $11,029.52	Facility		$2,453.71	$7,920.26	$11,029.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,763.86 / $2,487.92 / $2,832.18	Professional		$1,763.86	$2,487.92	$2,832.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,078.92 / $2,139.09 / $3,216.12	Facility		$1,078.92	$2,139.09	$3,216.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,391.26 / $2,148.71 / $2,275.32	Facility		$1,391.26	$2,148.71	$2,275.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,078.92 / $2,332.81 / $3,216.12	Facility		$1,078.92	$2,332.81	$3,216.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $10,234.00 / $36,803.00	Facility		$2,446.00	$10,234.00	$36,803.00