Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $761.10 / $3,906.12 / $5,468.57	Facility		$761.10	$3,906.12	$5,468.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $761.10 / $3,906.12 / $5,468.57	Facility		$761.10	$3,906.12	$5,468.57
United Facility/Professional Facility Modifier Low / Median / High Price $3,200.82 / $3,200.82 / $3,200.82	Facility		$3,200.82	$3,200.82	$3,200.82