Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $532.04 / $532.04 / $532.04	Facility		$532.04	$532.04	$532.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.04 / $971.40 / $1,027.33	Professional		$532.04	$971.40	$1,027.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.87 / $109.87 / $109.87	Facility		$109.87	$109.87	$109.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $93.39 / $147.10	Professional		$93.39	$93.39	$147.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $146.04 / $194.32 / $1,330.82	Facility		$146.04	$194.32	$1,330.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $146.04 / $158.12 / $194.32	Professional		$146.04	$158.12	$194.32
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 $116.83 / $194.32 / $1,330.82	Facility		$116.83	$194.32	$1,330.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $170.16 / $189.77	Professional		$93.39	$170.16	$189.77
United Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $82.40 / $888.86	Professional		$78.73	$82.40	$888.86