Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,289.84 / $2,289.84 / $2,289.84	Facility		$2,289.84	$2,289.84	$2,289.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,985.82 / $1,985.82 / $2,289.84	Professional		$1,985.82	$1,985.82	$2,289.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,254.90 / $2,254.90 / $2,254.90	Facility		$2,254.90	$2,254.90	$2,254.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.70 / $1,916.67 / $2,254.90	Professional		$267.70	$1,916.67	$2,254.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $293.13 / $336.74 / $2,720.57	Facility		$293.13	$336.74	$2,720.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $319.99 / $332.27	Professional		$253.16	$319.99	$332.27
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 $243.80 / $1,985.82 / $3,853.64	Facility		$243.80	$1,985.82	$3,853.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $267.70 / $379.64 / $2,254.90	Professional		$267.70	$379.64	$2,254.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,285.80 / $1,285.80 / $2,468.87	Professional		$1,285.80	$1,285.80	$2,468.87