Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $16.26 / $16.26	Facility		$16.26	$16.26	$16.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $14.82 / $29.84	Professional		$14.82	$14.82	$29.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $4.38 / $4.38	Professional		$4.38	$4.38	$4.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $15.56 / $29.84	Facility		$14.82	$15.56	$29.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $14.82 / $29.84	Facility		$14.82	$14.82	$29.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $2,250,000.00 / $2,400,000.00	Professional		$4.38	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.63 / $9.31	Professional		$5.30	$5.63	$9.31