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 / $20,723.00	Facility		$3,741.00	$10,480.00	$20,723.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $19,568.00 / $19,568.00 / $31,488.66	Facility	50	$19,568.00	$19,568.00	$31,488.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $110.90 / $693.54 / $2,071.62	Professional	50	$110.90	$693.54	$2,071.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $440.21 / $2,163.36 / $3,614.77	Facility		$440.21	$2,163.36	$3,614.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $440.21 / $2,163.36 / $13,969.78	Facility		$440.21	$2,163.36	$13,969.78
United Facility/Professional Facility Modifier Low / Median / High Price $6,791.00 / $6,791.00 / $6,791.00	Facility		$6,791.00	$6,791.00	$6,791.00