Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.59 / $754.59 / $754.59	Facility		$754.59	$754.59	$754.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.78 / $678.78 / $754.59	Professional		$678.78	$678.78	$754.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $536.83 / $536.83 / $536.83	Facility		$536.83	$536.83	$536.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.31 / $536.83 / $536.83	Professional		$456.31	$536.83	$536.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $535.01 / $678.78 / $929.93	Facility		$535.01	$678.78	$929.93
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 $535.01 / $712.72 / $2,700,000.00	Facility		$535.01	$712.72	$2,700,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $456.31 / $536.83 / $2,400,000.00	Professional		$456.31	$536.83	$2,400,000.00