Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,593.48 / $7,920.26 / $13,496.00	Facility		$2,593.48	$7,920.26	$13,496.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,870.36 / $2,634.70 / $2,999.26	Professional		$1,870.36	$2,634.70	$2,999.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,142.57 / $2,247.26 / $3,378.75	Facility		$1,142.57	$2,247.26	$3,378.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,586.26 / $2,278.42 / $2,424.06	Facility		$1,586.26	$2,278.42	$2,424.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,142.57 / $2,450.77 / $3,378.75	Facility		$1,142.57	$2,450.77	$3,378.75
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