Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $29.28 / $29.28	Facility		$29.28	$29.28	$29.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $20.83 / $29.28	Professional		$20.83	$20.83	$29.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $100.00 / $120.00	Facility		$50.00	$100.00	$120.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $20.83 / $31.57	Facility		$20.83	$20.83	$31.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
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 $20.83 / $20.83 / $50.00	Facility		$20.83	$20.83	$50.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,400,000.00