Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,099.67 / $2,099.67 / $2,099.67	Facility		$2,099.67	$2,099.67	$2,099.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,871.10 / $1,871.10 / $2,099.67	Professional		$1,871.10	$1,871.10	$2,099.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,416.31 / $2,416.31 / $2,416.31	Facility		$2,416.31	$2,416.31	$2,416.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $2,053.86 / $2,416.31	Professional		$257.99	$2,053.86	$2,416.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $280.77 / $318.26 / $2,563.41	Facility		$280.77	$318.26	$2,563.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $242.49 / $293.42 / $318.26	Professional		$242.49	$293.42	$318.26
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 $223.56 / $1,871.10 / $3,534.24	Facility		$223.56	$1,871.10	$3,534.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $357.73 / $2,416.31	Professional		$257.99	$357.73	$2,416.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,228.59 / $1,228.59 / $2,359.40	Professional		$1,228.59	$1,228.59	$2,359.40