Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.41 / $6,541.00 / $13,413.92	Facility		$517.41	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.01 / $529.02 / $1,391.36	Facility		$82.01	$529.02	$1,391.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.01 / $529.02 / $1,391.36	Facility		$82.01	$529.02	$1,391.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,106.88 / $3,106.88 / $3,106.88	Facility		$3,106.88	$3,106.88	$3,106.88