Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,736.08 / $2,736.08 / $2,736.08	Facility		$2,736.08	$2,736.08	$2,736.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,147.34 / $2,147.34 / $2,736.08	Professional		$2,147.34	$2,147.34	$2,736.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.69 / $2,290.69 / $2,290.69	Facility		$2,290.69	$2,290.69	$2,290.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.08 / $1,947.10 / $2,290.69	Professional		$268.08	$1,947.10	$2,290.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $296.31 / $402.37 / $2,941.86	Facility		$296.31	$402.37	$2,941.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $255.90 / $335.88 / $382.35	Professional		$255.90	$335.88	$382.35
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 $291.31 / $2,147.34 / $3,641.40	Facility		$291.31	$2,147.34	$3,641.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.37 / $410.41 / $2,290.69	Professional		$269.37	$410.41	$2,290.69
United Facility/Professional Facility Modifier Low / Median / High Price $243.40 / $243.40 / $2,829.98	Facility		$243.40	$243.40	$2,829.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,385.32 / $1,749.60 / $2,770.64	Professional		$1,385.32	$1,749.60	$2,770.64