Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $6,456.54 / $7,585.78	Facility		$436.52	$6,456.54	$7,585.78
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $89.13 / $1,000.00 / $7,244.36	Facility	25	$89.13	$1,000.00	$7,244.36
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $162.18 / $239.88 / $831.76	Professional	25	$162.18	$239.88	$831.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $257.04 / $5,370.32	Facility		$186.21	$257.04	$5,370.32
Moda Health Facility/Professional Facility Modifier 25 Low / Median / High Price $89.13 / $1,000.00 / $7,244.36	Facility	25	$89.13	$1,000.00	$7,244.36
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $169.82 / $416.87 / $977.24	Professional	25	$169.82	$416.87	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $245.47 / $446.68	Facility		$186.21	$245.47	$446.68