Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $75.84 / $75.84	Professional		$54.00	$75.84	$75.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.46 / $163.46 / $163.46	Facility		$163.46	$163.46	$163.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.29 / $83.29 / $83.29	Professional		$83.29	$83.29	$83.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.84 / $108.47 / $163.08	Facility		$75.84	$108.47	$163.08
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 $49.60 / $49.60 / $49.60	Facility		$49.60	$49.60	$49.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.23 / $105.88 / $209.80	Facility		$58.23	$105.88	$209.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.53 / $80.27 / $88.60	Professional		$63.53	$80.27	$88.60
United Facility/Professional Professional Modifier Low / Median / High Price $84.04 / $89.24 / $89.24	Professional		$84.04	$89.24	$89.24