Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,718.32 / $2,718.32 / $2,718.32	Facility		$2,718.32	$2,718.32	$2,718.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,184.48 / $2,184.48 / $2,718.32	Professional		$2,184.48	$2,184.48	$2,718.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,446.40 / $2,446.40 / $2,446.40	Facility		$2,446.40	$2,446.40	$2,446.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.94 / $2,079.44 / $2,446.40	Professional		$286.94	$2,079.44	$2,446.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $306.63 / $400.81 / $2,992.74	Facility		$306.63	$400.81	$2,992.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $264.81 / $347.57 / $379.86	Professional		$264.81	$347.57	$379.86
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 $289.42 / $2,184.48 / $4,358.00	Facility		$289.42	$2,184.48	$4,358.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $283.20 / $417.54 / $2,446.40	Professional		$283.20	$417.54	$2,446.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,435.76 / $1,435.76 / $2,871.52	Professional		$1,435.76	$1,435.76	$2,871.52