Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.70 / $791.70 / $791.70	Professional		$791.70	$791.70	$791.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.00 / $3,580.09 / $4,289.35	Professional		$385.00	$3,580.09	$4,289.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $791.70 / $791.70 / $1,702.16	Facility		$791.70	$791.70	$1,702.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $807.46 / $1,217.02 / $1,431.79	Facility		$807.46	$1,217.02	$1,431.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $791.70 / $791.70 / $1,702.16	Facility		$791.70	$791.70	$1,702.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $385.00 / $385.00 / $385.00	Professional		$385.00	$385.00	$385.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,438.84 / $2,079.41 / $2,943.81	Professional		$1,438.84	$2,079.41	$2,943.81