Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Professional		$6.03	$6.03	$6.03
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 $6.03 / $6.03 / $10.96	Facility		$6.03	$6.03	$10.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Professional		$6.03	$6.03	$6.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $10.72	Facility		$6.03	$6.03	$10.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $79.43	Professional		$8.13	$8.13	$79.43