Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.83 / $264.83 / $264.83	Facility		$264.83	$264.83	$264.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.83 / $275.70 / $275.70	Professional		$264.83	$275.70	$275.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.63 / $226.63 / $226.63	Facility		$226.63	$226.63	$226.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.64 / $192.64 / $226.63	Professional		$192.64	$192.64	$226.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $260.31 / $275.70 / $377.71	Facility		$260.31	$275.70	$377.71
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 $226.63 / $275.70 / $2,700,000.00	Facility		$226.63	$275.70	$2,700,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.64 / $2,250,000.00 / $2,400,000.00	Professional		$192.64	$2,250,000.00	$2,400,000.00