Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,625.04 / $3,625.04 / $3,625.04	Facility		$3,625.04	$3,625.04	$3,625.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,625.04 / $4,033.92 / $4,033.92	Professional		$3,625.04	$4,033.92	$4,033.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,587.01 / $5,587.01 / $5,587.01	Facility		$5,587.01	$5,587.01	$5,587.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.05 / $4,748.96 / $5,587.01	Professional		$615.05	$4,748.96	$5,587.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $480.93 / $767.35 / $4,824.50	Facility		$480.93	$767.35	$4,824.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $506.57 / $584.64 / $767.35	Professional		$506.57	$584.64	$767.35
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 $385.96 / $3,625.04 / $5,587.01	Facility		$385.96	$3,625.04	$5,587.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $615.41 / $771.61 / $5,587.01	Professional		$615.41	$771.61	$5,587.01
United Facility/Professional Professional Modifier Low / Median / High Price $2,487.88 / $2,537.12 / $4,780.60	Professional		$2,487.88	$2,537.12	$4,780.60