Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.12 / $1,920.60 / $6,356.50	Facility		$404.12	$1,920.60	$6,356.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $59.74 / $2,622.04	Professional		$35.74	$59.74	$2,622.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.06 / $45.06 / $45.06	Professional		$45.06	$45.06	$45.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.88 / $63.92 / $140.22	Facility		$60.88	$63.92	$140.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $79,999.20 / $79,999.20	Facility		$100.00	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.88 / $60.88 / $2,400,000.00	Facility		$60.88	$60.88	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.06 / $2,250,000.00 / $2,400,000.00	Professional		$45.06	$2,250,000.00	$2,400,000.00