Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,554.17 / $2,554.17 / $2,554.17	Professional		$2,554.17	$2,554.17	$2,554.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,661.74 / $4,661.74 / $4,661.74	Facility		$4,661.74	$4,661.74	$4,661.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,062.67 / $1,062.67 / $1,518.10	Professional		$1,062.67	$1,062.67	$1,518.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,466.14 / $4,466.14 / $4,661.74	Facility		$4,466.14	$4,466.14	$4,661.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,062.67 / $1,062.67 / $1,518.10	Professional		$1,062.67	$1,062.67	$1,518.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,563.66 / $2,546.10 / $14,569.29	Professional		$1,563.66	$2,546.10	$14,569.29