Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $208.93	Professional		$151.36	$173.78	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $5,248.07 / $8,912.51	Facility		$4,786.30	$5,248.07	$8,912.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $8,912.51	Facility		$4,786.30	$4,786.30	$8,912.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,348.96 / $1,348.96	Professional		$79.43	$1,348.96	$1,348.96