Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,627.00 / $7,920.26 / $11,029.52	Facility		$3,627.00	$7,920.26	$11,029.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,746.80 / $3,858.49 / $4,392.38	Professional		$2,746.80	$3,858.49	$4,392.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,673.28 / $3,379.58 / $5,081.18	Facility		$1,673.28	$3,379.58	$5,081.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,220.67 / $3,346.10 / $3,611.97	Facility		$2,220.67	$3,346.10	$3,611.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,673.28 / $3,685.63 / $5,081.18	Facility		$1,673.28	$3,685.63	$5,081.18
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