Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,030.85 / $1,030.85 / $1,030.85	Facility		$1,030.85	$1,030.85	$1,030.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $994.65 / $1,170.18 / $1,419.97	Professional		$994.65	$1,170.18	$1,419.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $530.33 / $968.75 / $1,383.80	Facility		$530.33	$968.75	$1,383.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $790.22 / $1,064.38 / $1,107.51	Facility		$790.22	$1,064.38	$1,107.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $546.92 / $1,067.78 / $1,413.29	Facility		$546.92	$1,067.78	$1,413.29