Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $6,456.54	Professional		$5,128.61	$5,128.61	$6,456.54
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 $5,128.61 / $5,623.41 / $9,549.93	Facility		$5,128.61	$5,623.41	$9,549.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $9,549.93	Facility		$5,128.61	$5,128.61	$9,549.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $79.43	Professional		$70.79	$79.43	$79.43