Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,888.44 / $6,606.93	Facility		$2,754.23	$5,888.44	$6,606.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,011.87 / $6,760.83	Professional		$3,890.45	$5,011.87	$6,760.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,311.31 / $5,623.41	Facility		$2,344.23	$3,311.31	$5,623.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,128.61 / $5,495.41	Facility		$4,466.84	$5,128.61	$5,495.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,951.21 / $5,495.41	Facility		$2,290.87	$2,951.21	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $7,585.78 / $31,622.78	Facility		$2,454.71	$7,585.78	$31,622.78