Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.00 / $297.00 / $297.00	Facility		$297.00	$297.00	$297.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Professional		$148.50	$148.50	$148.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $201.99 / $303.69	Facility		$141.25	$201.99	$303.69
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 $136.00 / $136.00 / $154.35	Facility		$136.00	$136.00	$154.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $201.99 / $600,000.00	Facility		$141.25	$201.99	$600,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Professional		$148.50	$148.50	$148.50
United Facility/Professional Professional Modifier Low / Median / High Price $158.96 / $179.62 / $190.75	Professional		$158.96	$179.62	$190.75