Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $9,577.00 / $16,335.00	Facility		$2,464.00	$9,577.00	$16,335.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.63 / $222.46 / $318.12	Facility		$114.63	$222.46	$318.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.63 / $222.46 / $318.12	Facility		$114.63	$222.46	$318.12