Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $239.88	Facility		$229.09	$229.09	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $239.88 / $707.95	Professional		$229.09	$239.88	$707.95
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 $239.88 / $239.88 / $371.54	Facility		$239.88	$239.88	$371.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $707.95	Professional		$239.88	$239.88	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $398.11	Facility		$239.88	$239.88	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.62 / $79.43	Professional		$0.62	$0.62	$79.43