Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $9,972.00 / $20,400.00	Facility		$2,747.00	$9,972.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,073.98 / $2,950.85 / $3,322.36	Professional		$2,073.98	$2,950.85	$3,322.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,357.67 / $2,300.08 / $3,541.35	Facility		$1,357.67	$2,300.08	$3,541.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,655.71 / $2,400.57 / $2,704.79	Facility		$1,655.71	$2,400.57	$2,704.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,357.67 / $2,800.00 / $3,352.60	Facility		$1,357.67	$2,800.00	$3,352.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $8,571.00 / $36,803.00	Facility		$2,364.00	$8,571.00	$36,803.00