Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $2,000.00	Facility		$1,000.00	$1,000.00	$2,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $830.00 / $830.00 / $1,000.00	Professional		$830.00	$830.00	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $424.00 / $424.00	Facility		$424.00	$424.00	$424.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $230.00	Professional		$212.00	$212.00	$230.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $830.00 / $1,186.90 / $1,784.50	Facility		$830.00	$1,186.90	$1,784.50
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 $212.00 / $212.00 / $79,999.20	Facility		$212.00	$212.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $1,186.90 / $2,400,000.00	Facility		$424.00	$1,186.90	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $230.00	Professional		$212.00	$212.00	$230.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $243.80	Professional		$212.00	$212.00	$243.80