Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,694.91 / $3,694.91 / $3,694.91	Facility		$3,694.91	$3,694.91	$3,694.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.05 / $336.05 / $3,694.91	Professional		$336.05	$336.05	$3,694.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $405.00 / $405.00	Facility		$405.00	$405.00	$405.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.25 / $405.00 / $405.00	Professional		$344.25	$405.00	$405.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $336.05 / $352.85 / $460.39	Facility		$336.05	$352.85	$460.39
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 $336.05 / $360.87 / $2,700,000.00	Facility		$336.05	$360.87	$2,700,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $344.25 / $405.00 / $2,400,000.00	Professional		$344.25	$405.00	$2,400,000.00