Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.10 / $521.10 / $521.10	Facility		$521.10	$521.10	$521.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.10 / $951.60 / $1,006.30	Professional		$521.10	$951.60	$1,006.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.63 / $107.63 / $107.63	Facility		$107.63	$107.63	$107.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $91.49 / $144.13	Professional		$91.49	$91.49	$144.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $143.05 / $190.36 / $1,303.69	Facility		$143.05	$190.36	$1,303.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $143.05 / $154.88 / $190.36	Professional		$143.05	$154.88	$190.36
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 $114.44 / $190.36 / $1,303.69	Facility		$114.44	$190.36	$1,303.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $166.69 / $185.90	Professional		$91.49	$166.69	$185.90
United Facility/Professional Professional Modifier Low / Median / High Price $77.12 / $80.72 / $896.21	Professional		$77.12	$80.72	$896.21