Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $10,059.75 / $14,552.94	Facility		$2,236.00	$10,059.75	$14,552.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.90 / $3,497.39 / $4,896.35	Facility		$691.90	$3,497.39	$4,896.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.90 / $3,497.39 / $4,896.35	Facility		$691.90	$3,497.39	$4,896.35
United Facility/Professional Facility Modifier Low / Median / High Price $14,287.46 / $14,287.46 / $14,287.46	Facility		$14,287.46	$14,287.46	$14,287.46