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 $1,698.24 / $2,041.74 / $2,884.03	Facility		$1,698.24	$2,041.74	$2,884.03
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 $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68