Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.80 / $7,340.00 / $13,413.92	Facility		$551.80	$7,340.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.56 / $224.71 / $418.66	Facility		$64.56	$224.71	$418.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.56 / $224.71 / $1,452.04	Facility		$64.56	$224.71	$1,452.04
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00