Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,951.21 / $7,943.28	Facility		$1,584.89	$2,951.21	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,454.71 / $3,019.95	Professional		$1,096.48	$2,454.71	$3,019.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $13,489.63	Facility		$1,584.89	$2,238.72	$13,489.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $2,398.83	Facility		$1,949.84	$2,290.87	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,884.03	Facility		$1,258.93	$1,659.59	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52