Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $67.15 / $67.15	Professional		$58.88	$67.15	$67.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $30.72 / $30.72	Facility		$30.72	$30.72	$30.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $30.72 / $30.72	Professional		$26.11	$30.72	$30.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.15 / $70.51 / $92.00	Facility		$67.15	$70.51	$92.00
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 $30.72 / $70.51 / $2,700,000.00	Facility		$30.72	$70.51	$2,700,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $30.72 / $2,400,000.00	Professional		$26.11	$30.72	$2,400,000.00