Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,550.00 / $2,550.00 / $2,550.00	Facility		$2,550.00	$2,550.00	$2,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,751.72 / $1,751.72 / $2,550.00	Professional		$1,751.72	$1,751.72	$2,550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $783.67 / $783.67 / $783.67	Professional		$783.67	$783.67	$783.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $1,751.72 / $2,399.86	Facility		$24.00	$1,751.72	$2,399.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,577.64 / $4,577.64 / $79,999.20	Facility		$4,577.64	$4,577.64	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,577.64 / $4,577.64 / $4,577.64	Professional		$4,577.64	$4,577.64	$4,577.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $1,751.72 / $2,700,000.00	Facility		$24.00	$1,751.72	$2,700,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $783.67 / $2,250,000.00 / $2,400,000.00	Professional		$783.67	$2,250,000.00	$2,400,000.00