Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.85 / $4,798.37 / $8,164.08	Facility		$494.85	$4,798.37	$8,164.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.32 / $402.32 / $3,306.43	Professional		$402.32	$402.32	$3,306.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,054.93 / $1,054.93 / $1,054.93	Professional		$1,054.93	$1,054.93	$1,054.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $402.32 / $402.32 / $551.17	Facility		$402.32	$402.32	$551.17
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 $402.32 / $402.32 / $575.32	Facility		$402.32	$402.32	$575.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,054.93 / $2,250,000.00 / $2,400,000.00	Professional		$1,054.93	$2,250,000.00	$2,400,000.00