Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $7,943.28 / $7,943.28	Facility		$3,162.28	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $4,265.80	Professional		$3,162.28	$3,162.28	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $177.83	Professional		$169.82	$169.82	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $7,943.28	Facility		$3,162.28	$3,162.28	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $4,265.80	Professional		$3,162.28	$3,162.28	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $7,585.78	Facility		$3,162.28	$3,162.28	$7,585.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $79.43	Professional		$70.79	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $7,585.78 / $31,622.78	Facility		$1,412.54	$7,585.78	$31,622.78