Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $275.42 / $275.42	Professional		$104.71	$275.42	$275.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $275.42 / $275.42	Facility		$104.71	$275.42	$275.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $239.88 / $275.42	Professional		$60.26	$239.88	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $275.42 / $275.42	Facility		$104.71	$275.42	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95