Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,351.96 / $3,351.96 / $3,351.96	Facility		$3,351.96	$3,351.96	$3,351.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.29 / $503.29 / $3,351.96	Professional		$503.29	$503.29	$3,351.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $390.00 / $390.00	Facility		$390.00	$390.00	$390.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.50 / $390.00 / $390.00	Professional		$331.50	$390.00	$390.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $295.62 / $503.29 / $689.51	Facility		$295.62	$503.29	$689.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $938.25 / $938.25 / $79,999.20	Facility		$938.25	$938.25	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $938.25 / $938.25 / $938.25	Professional		$938.25	$938.25	$938.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.62 / $503.29 / $2,700,000.00	Facility		$295.62	$503.29	$2,700,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.50 / $390.00 / $2,400,000.00	Professional		$331.50	$390.00	$2,400,000.00