Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,577.00 / $14,552.94	Facility		$2,236.00	$9,577.00	$14,552.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $2,320.88 / $16,430.13	Facility		$432.00	$2,320.88	$16,430.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $2,320.88 / $16,430.13	Facility		$432.00	$2,320.88	$16,430.13
United Facility/Professional Facility Modifier Low / Median / High Price $11,668.72 / $11,668.72 / $11,668.72	Facility		$11,668.72	$11,668.72	$11,668.72