Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.28 / $59.28 / $59.28	Facility		$59.28	$59.28	$59.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.28 / $59.28 / $59.28	Professional		$59.28	$59.28	$59.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.69 / $526.69 / $526.69	Facility		$526.69	$526.69	$526.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.69 / $526.69 / $526.69	Professional		$447.69	$526.69	$526.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.28 / $62.24 / $81.20	Facility		$59.28	$62.24	$81.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.28 / $74.09 / $2,700,000.00	Facility		$59.28	$74.09	$2,700,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $447.69 / $526.69 / $2,400,000.00	Professional		$447.69	$526.69	$2,400,000.00