Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,669.68 / $5,191.46 / $5,856.71	Facility		$4,669.68	$5,191.46	$5,856.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,787.74 / $5,431.26 / $6,115.05	Professional		$3,787.74	$5,431.26	$6,115.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,498.48 / $3,879.17 / $5,855.35	Facility		$2,498.48	$3,879.17	$5,855.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,249.50 / $4,356.85 / $4,891.00	Facility		$3,249.50	$4,356.85	$4,891.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $4,767.14 / $6,168.88	Facility		$2,500.00	$4,767.14	$6,168.88
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