Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $1,862.09	Facility		$199.53	$199.53	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,090.30	Facility		$2,754.23	$2,754.23	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $25,703.96 / $70,794.58	Facility		$16,982.44	$25,703.96	$70,794.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $2,630.27	Facility		$1,698.24	$2,238.72	$2,630.27