Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,663.50 / $1,663.50 / $1,663.50	Professional		$1,663.50	$1,663.50	$1,663.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,663.50 / $1,663.50 / $3,424.84	Facility		$1,663.50	$1,663.50	$3,424.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,663.50 / $1,663.50 / $3,424.84	Facility		$1,663.50	$1,663.50	$3,424.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,565.64 / $3,000.81 / $5,375.36	Professional		$1,565.64	$3,000.81	$5,375.36