Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,293.04 / $3,293.04 / $3,293.04	Facility		$3,293.04	$3,293.04	$3,293.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,064.32 / $3,064.32 / $3,293.04	Professional		$3,064.32	$3,064.32	$3,293.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.00 / $2,187.00 / $2,187.00	Facility		$2,187.00	$2,187.00	$2,187.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.04 / $1,858.95 / $2,187.00	Professional		$418.04	$1,858.95	$2,187.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $471.41 / $534.36 / $4,198.12	Facility		$471.41	$534.36	$4,198.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.12 / $460.17 / $534.36	Professional		$407.12	$460.17	$534.36
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 $350.61 / $2,187.00 / $5,542.21	Facility		$350.61	$2,187.00	$5,542.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $428.55 / $585.91 / $2,187.00	Professional		$428.55	$585.91	$2,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,866.88 / $2,286.48 / $3,733.76	Professional		$1,866.88	$2,286.48	$3,733.76