Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,673.32 / $8,878.56 / $20,400.00	Facility		$1,673.32	$8,878.56	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,209.36 / $1,708.11 / $1,944.45	Professional		$1,209.36	$1,708.11	$1,944.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $740.74 / $1,466.62 / $2,205.06	Facility		$740.74	$1,466.62	$2,205.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.47 / $1,473.23 / $1,561.77	Facility		$1,023.47	$1,473.23	$1,561.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $740.74 / $1,599.44 / $2,205.06	Facility		$740.74	$1,599.44	$2,205.06
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $299.36 / $299.36 / $299.36	Facility	80	$299.36	$299.36	$299.36
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $254.45 / $254.45 / $254.45	Facility	AS	$254.45	$254.45	$254.45
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