Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,463.85 / $1,463.85 / $1,463.85	Facility		$1,463.85	$1,463.85	$1,463.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,463.85 / $2,673.06 / $2,926.54	Professional		$1,463.85	$2,673.06	$2,926.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.35 / $248.35 / $389.53	Professional		$248.35	$248.35	$389.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $401.85 / $534.73 / $3,662.09	Facility		$401.85	$534.73	$3,662.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $401.85 / $435.09 / $534.73	Professional		$401.85	$435.09	$534.73
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 $401.85 / $534.73 / $3,766.38	Facility		$401.85	$534.73	$3,766.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $248.35 / $468.23 / $522.20	Professional		$248.35	$468.23	$522.20
United Facility/Professional Professional Modifier Low / Median / High Price $216.64 / $226.76 / $2,445.94	Professional		$216.64	$226.76	$2,445.94