Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $857.17 / $4,806.00 / $13,413.92	Facility		$857.17	$4,806.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $742.32 / $742.32 / $812.76	Facility	54	$742.32	$742.32	$812.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $340.21 / $1,678.66 / $2,573.14	Facility		$340.21	$1,678.66	$2,573.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $351.43 / $1,678.66 / $2,573.14	Facility		$351.43	$1,678.66	$2,573.14