Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,280.51 / $4,704.00 / $8,728.00	Facility		$2,280.51	$4,704.00	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,679.78 / $2,388.59 / $2,689.31	Professional		$1,679.78	$2,388.59	$2,689.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,108.06 / $1,846.58 / $2,923.04	Facility		$1,108.06	$1,846.58	$2,923.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,366.61 / $1,983.15 / $2,178.17	Facility		$1,366.61	$1,983.15	$2,178.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,108.06 / $2,269.79 / $2,724.47	Facility		$1,108.06	$2,269.79	$2,724.47
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