Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $1,348.96	Professional		$707.95	$707.95	$1,348.96
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 $707.95 / $707.95 / $1,513.56	Facility		$707.95	$707.95	$1,513.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $1,348.96	Professional		$707.95	$707.95	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $724.44 / $1,445.44	Facility		$707.95	$724.44	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $79.43	Professional		$70.79	$79.43	$79.43