Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $239.88 / $239.88	Professional		$141.25	$239.88	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $181.97	Professional		$154.88	$181.97	$181.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $251.19	Facility		$239.88	$239.88	$251.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $239.88 / $239.88	Professional		$141.25	$239.88	$239.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $251.19 / $2,691,534.80	Facility		$181.97	$251.19	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $154.88 / $181.97	Professional		$79.43	$154.88	$181.97