Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.01 / $193.01 / $193.01	Facility		$193.01	$193.01	$193.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.01 / $238.98 / $238.98	Professional		$193.01	$238.98	$238.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.13 / $180.13 / $180.13	Facility		$180.13	$180.13	$180.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.11 / $180.13 / $180.13	Professional		$153.11	$180.13	$180.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $238.98 / $250.93 / $327.39	Facility		$238.98	$250.93	$327.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $311.45 / $311.45 / $79,999.20	Facility		$311.45	$311.45	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $311.45 / $311.45 / $311.45	Professional		$311.45	$311.45	$311.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.13 / $250.93 / $2,700,000.00	Facility		$180.13	$250.93	$2,700,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.11 / $180.13 / $2,400,000.00	Professional		$153.11	$180.13	$2,400,000.00