Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,391.12 / $2,391.12 / $2,391.12	Facility		$2,391.12	$2,391.12	$2,391.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,061.00 / $2,061.00 / $2,391.12	Professional		$2,061.00	$2,061.00	$2,391.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,671.66 / $2,671.66 / $2,671.66	Facility		$2,671.66	$2,671.66	$2,671.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.64 / $2,270.91 / $2,671.66	Professional		$286.64	$2,270.91	$2,671.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $303.08 / $351.63 / $2,823.57	Facility		$303.08	$351.63	$2,823.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $261.75 / $334.14 / $343.56	Professional		$261.75	$334.14	$343.56
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 $254.58 / $2,061.00 / $3,658.05	Facility		$254.58	$2,061.00	$3,658.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $279.94 / $394.01 / $2,671.66	Professional		$279.94	$394.01	$2,671.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,361.32 / $1,575.56 / $2,722.64	Professional		$1,361.32	$1,575.56	$2,722.64