Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $616.60 / $2,089.30	Facility		$229.09	$616.60	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $134.90 / $3,801.89	Professional		$75.86	$134.90	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $426.58 / $467.74	Facility		$263.03	$426.58	$467.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $398.11 / $2,089.30	Facility		$75.86	$398.11	$2,089.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $79.43 / $2,818.38	Professional		$75.86	$79.43	$2,818.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $407.38 / $467.74	Facility		$70.79	$407.38	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43