Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.74 / $446.74 / $446.74	Facility		$446.74	$446.74	$446.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.99 / $412.99 / $446.74	Professional		$412.99	$412.99	$446.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $296.00 / $296.00	Facility		$296.00	$296.00	$296.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.60 / $251.60 / $296.00	Professional		$251.60	$251.60	$296.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $240.80 / $412.99 / $565.79	Facility		$240.80	$412.99	$565.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $514.73 / $514.73 / $79,999.20	Facility		$514.73	$514.73	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $514.73 / $514.73 / $514.73	Professional		$514.73	$514.73	$514.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $240.80 / $429.68 / $2,700,000.00	Facility		$240.80	$429.68	$2,700,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.60 / $2,250,000.00 / $2,400,000.00	Professional		$251.60	$2,250,000.00	$2,400,000.00