Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $218.78 / $218.78	Facility		$44.67	$218.78	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $213.80	Professional		$44.67	$44.67	$213.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $47.86 / $218.78	Facility		$45.71	$47.86	$218.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $47.86 / $112.20	Professional		$44.67	$47.86	$112.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $891.25 / $891.25	Facility		$346.74	$891.25	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $47.86 / $218.78	Facility		$45.71	$47.86	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,311.31 / $4,365.16	Facility		$2,691.53	$3,311.31	$4,365.16