Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $407.38 / $446.68	Professional		$389.05	$407.38	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $295.12 / $295.12	Professional		$251.19	$295.12	$295.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $436.52	Facility		$416.87	$416.87	$436.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $407.38 / $426.58	Professional		$389.05	$407.38	$426.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $416.87 / $2,691,534.80	Facility		$239.88	$416.87	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $251.19 / $295.12	Professional		$79.43	$251.19	$295.12