Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.99 / $6,541.00 / $13,413.92	Facility		$650.99	$6,541.00	$13,413.92
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,473.04 / $8,998.00 / $9,129.42	Facility	50	$4,473.04	$8,998.00	$9,129.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $455.49 / $679.02 / $679.02	Professional	50	$455.49	$679.02	$679.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.59 / $272.92 / $937.39	Facility		$144.59	$272.92	$937.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.59 / $272.92 / $1,712.99	Facility		$144.59	$272.92	$1,712.99
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00