Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $7,943.28 / $8,709.64	Facility		$5,128.61	$7,943.28	$8,709.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,606.93 / $20,417.38	Facility		$5,011.87	$6,606.93	$20,417.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $20,417.38	Professional		$6,606.93	$6,606.93	$20,417.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,128.61 / $7,413.10	Facility		$4,365.16	$5,128.61	$7,413.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659,586.91 / $1,659,586.91 / $1,659,586.91	Facility		$1,659,586.91	$1,659,586.91	$1,659,586.91
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 $3,019.95 / $20,892.96 / $45,708.82	Facility		$3,019.95	$20,892.96	$45,708.82