Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $6,606.93 / $16,595.87	Facility		$380.19	$6,606.93	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $213.80 / $489.78	Facility		$141.25	$213.80	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $213.80 / $489.78	Facility		$151.36	$213.80	$489.78