Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.00 / $574.00 / $574.00	Facility		$574.00	$574.00	$574.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.00 / $574.00 / $574.00	Professional		$574.00	$574.00	$574.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $424.00 / $424.00	Facility		$424.00	$424.00	$424.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.40 / $424.00 / $424.00	Professional		$360.40	$424.00	$424.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $574.00 / $574.00 / $786.38	Facility		$574.00	$574.00	$786.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $190.74 / $190.74 / $79,999.20	Facility		$190.74	$190.74	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $190.74 / $190.74 / $190.74	Professional		$190.74	$190.74	$190.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $574.00 / $786.38	Facility		$424.00	$574.00	$786.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $360.40 / $424.00 / $2,400,000.00	Professional		$360.40	$424.00	$2,400,000.00