Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.40 / $148.40 / $178.08	Professional		$148.40	$148.40	$178.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $303.95 / $303.95 / $303.95	Facility		$303.95	$303.95	$303.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $151.97 / $151.97	Professional		$151.97	$151.97	$151.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $148.40 / $212.21 / $319.06	Facility		$148.40	$212.21	$319.06
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 $109.36 / $148.40 / $212.21	Facility		$109.36	$148.40	$212.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.28 / $151.97 / $186.25	Professional		$124.28	$151.97	$186.25