Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,142.64 / $7,034.82 / $12,905.78	Facility		$3,142.64	$7,034.82	$12,905.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,142.64 / $3,859.17 / $10,076.21	Professional		$3,142.64	$3,859.17	$10,076.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,326.50 / $1,326.50 / $1,326.50	Professional		$1,326.50	$1,326.50	$1,326.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,353.33 / $3,859.17 / $5,287.06	Facility		$3,353.33	$3,859.17	$5,287.06
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 $3,353.33 / $3,859.17 / $5,518.61	Facility		$3,353.33	$3,859.17	$5,518.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,326.50 / $2,250,000.00 / $2,400,000.00	Professional		$1,326.50	$2,250,000.00	$2,400,000.00