Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.70 / $282.70 / $282.70	Facility		$282.70	$282.70	$282.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.97 / $217.46 / $217.46	Professional		$103.97	$217.46	$217.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.52 / $217.46 / $217.46	Facility		$94.52	$217.46	$217.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.52 / $217.46 / $217.46	Facility		$94.52	$217.46	$217.46
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $20.12 / $20.12	Professional		$20.12	$20.12	$20.12