Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.59 / $80.59 / $80.59	Facility		$80.59	$80.59	$80.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.43 / $81.96 / $81.96	Professional		$72.43	$81.96	$81.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.70 / $88.70 / $88.70	Facility		$88.70	$88.70	$88.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $75.40 / $223.95	Professional		$10.41	$75.40	$223.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.07 / $25.38 / $86.06	Facility		$21.07	$25.38	$86.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.37 / $13.61 / $20.02	Professional		$10.37	$13.61	$20.02
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 $14.75 / $25.38 / $112.29	Facility		$14.75	$25.38	$112.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $15.66 / $75.40	Professional		$11.09	$15.66	$75.40
United Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $11.71 / $134.68	Professional		$7.12	$11.71	$134.68