Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,175.36 / $13,413.92	Facility		$3,741.00	$10,175.36	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $908.35 / $4,694.30 / $6,572.02	Facility		$908.35	$4,694.30	$6,572.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $908.35 / $4,694.30 / $6,572.02	Facility		$908.35	$4,694.30	$6,572.02
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