Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.09 / $304.00 / $2,105.33	Facility		$227.09	$304.00	$2,105.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $77.84 / $3,798.96	Professional		$75.00	$77.84	$3,798.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.20 / $405.33 / $470.60	Facility		$263.20	$405.33	$470.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.02 / $70.02 / $70.02	Facility		$70.02	$70.02	$70.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $375.63 / $375.63 / $375.63	Facility		$375.63	$375.63	$375.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.02 / $426.38 / $600,000.00	Facility		$70.02	$426.38	$600,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,400,000.00	$2,400,000.00