Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,997.13 / $5,131.59 / $6,478.63	Facility		$2,997.13	$5,131.59	$6,478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,186.22 / $5,998.66 / $6,753.89	Professional		$4,186.22	$5,998.66	$6,753.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,772.58 / $4,314.18 / $6,475.50	Facility		$2,772.58	$4,314.18	$6,475.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,138.08 / $4,805.68 / $5,438.39	Facility		$3,138.08	$4,805.68	$5,438.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,772.58 / $5,268.68 / $6,825.33	Facility		$2,772.58	$5,268.68	$6,825.33
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