Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,385.17 / $7,920.26 / $20,400.00	Facility		$1,385.17	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $997.95 / $1,412.69 / $1,608.16	Professional		$997.95	$1,412.69	$1,608.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $612.63 / $1,216.22 / $1,828.58	Facility		$612.63	$1,216.22	$1,828.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $843.34 / $1,157.89 / $1,286.40	Facility		$843.34	$1,157.89	$1,286.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $612.63 / $1,326.35 / $1,828.58	Facility		$612.63	$1,326.35	$1,828.58
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