Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,786.30 / $7,943.28	Facility		$2,238.72	$4,786.30	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,715.35 / $4,897.79	Professional		$2,818.38	$3,715.35	$4,897.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $7,943.28	Facility		$1,862.09	$2,511.89	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,715.35 / $3,890.45	Facility		$3,162.28	$3,715.35	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $4,786.30	Facility		$1,778.28	$2,398.83	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $11,748.98 / $26,302.68	Facility		$2,137.96	$11,748.98	$26,302.68