Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.14 / $284.14 / $1,004.57	Facility		$284.14	$284.14	$1,004.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.47 / $287.02 / $287.02	Professional		$176.47	$287.02	$287.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $410.44 / $410.44 / $410.44	Facility		$410.44	$410.44	$410.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $410.44 / $410.44 / $410.44	Facility		$410.44	$410.44	$410.44
United Facility/Professional Professional Modifier Low / Median / High Price $180.30 / $270.45 / $363.70	Professional		$180.30	$270.45	$363.70