Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,249.19 / $2,249.19 / $2,249.19	Facility		$2,249.19	$2,249.19	$2,249.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,978.32 / $1,978.32 / $2,249.19	Professional		$1,978.32	$1,978.32	$2,249.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,592.00 / $2,592.00 / $2,592.00	Facility		$2,592.00	$2,592.00	$2,592.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.95 / $2,203.19 / $2,592.00	Professional		$267.95	$2,203.19	$2,592.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $294.56 / $333.89 / $2,710.30	Facility		$294.56	$333.89	$2,710.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $254.39 / $314.32 / $333.89	Professional		$254.39	$314.32	$333.89
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 $239.48 / $1,978.32 / $3,786.02	Facility		$239.48	$1,978.32	$3,786.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $267.95 / $378.22 / $2,592.00	Professional		$267.95	$378.22	$2,592.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,277.72 / $1,277.72 / $2,555.44	Professional		$1,277.72	$1,277.72	$2,555.44