Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $5,888.44 / $14,125.38	Facility		$457.09	$5,888.44	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $575.44 / $1,148.15	Facility		$190.55	$575.44	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $512.86 / $1,148.15	Facility		$177.83	$512.86	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53