Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,311.31 / $15,848.93	Facility		$2,511.89	$3,311.31	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $3,311.31	Professional		$1,905.46	$2,511.89	$3,311.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $3,548.13	Facility		$1,348.96	$1,949.84	$3,548.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $2,691.53	Facility		$1,778.28	$2,454.71	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,819.70 / $3,019.95	Facility		$1,202.26	$1,819.70	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $7,585.78 / $31,622.78	Facility		$1,348.96	$7,585.78	$31,622.78