Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,182.57 / $17,378.01	Facility		$7,943.28	$13,182.57	$17,378.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $9,332.54 / $20,417.38	Facility		$7,079.46	$9,332.54	$20,417.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $20,417.38	Professional		$7,079.46	$7,079.46	$20,417.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22,908.68 / $27,542.29 / $38,904.51	Facility		$22,908.68	$27,542.29	$38,904.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $51,286.14 / $134,896.29	Facility		$4,265.80	$51,286.14	$134,896.29