Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,966.90 / $5,116.62 / $20,400.00	Facility		$1,966.90	$5,116.62	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,880.00 / $2,324.36 / $2,776.20	Professional		$1,880.00	$2,324.36	$2,776.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,104.04 / $1,396.58 / $2,600.30	Facility		$1,104.04	$1,396.58	$2,600.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,523.04 / $2,141.51 / $2,443.48	Facility		$1,523.04	$2,141.51	$2,443.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,104.04 / $1,646.62 / $2,266.23	Facility		$1,104.04	$1,646.62	$2,266.23
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