Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.63 / $1,386.63 / $1,386.63	Facility		$1,386.63	$1,386.63	$1,386.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,358.93 / $1,398.77 / $1,734.32	Professional		$1,358.93	$1,398.77	$1,734.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,031.70 / $1,031.70 / $1,031.70	Professional		$1,031.70	$1,031.70	$1,031.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,369.15 / $1,533.20 / $2,981.25	Facility		$1,369.15	$1,533.20	$2,981.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,704.97 / $1,760.95 / $79,999.20	Facility		$1,704.97	$1,760.95	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,375.96 / $1,534.47 / $2,981.25	Facility		$1,375.96	$1,534.47	$2,981.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $1,800,000.00 / $2,400,000.00	Professional		$1,800,000.00	$1,800,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,342.67 / $1,342.67 / $1,342.67	Professional		$1,342.67	$1,342.67	$1,342.67