Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,697.60 / $4,697.60 / $4,697.60	Facility		$4,697.60	$4,697.60	$4,697.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,697.60 / $5,399.40 / $5,399.40	Professional		$4,697.60	$5,399.40	$5,399.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,860.06 / $7,860.06 / $7,860.06	Facility		$7,860.06	$7,860.06	$7,860.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.44 / $6,681.05 / $7,860.06	Professional		$814.44	$6,681.05	$7,860.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $690.82 / $1,041.00 / $6,251.90	Facility		$690.82	$1,041.00	$6,251.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $656.45 / $793.13 / $1,041.00	Professional		$656.45	$793.13	$1,041.00
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 $500.15 / $4,697.60 / $7,906.00	Facility		$500.15	$4,697.60	$7,906.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $834.87 / $1,032.86 / $7,860.06	Professional		$834.87	$1,032.86	$7,860.06
United Facility/Professional Professional Modifier Low / Median / High Price $3,320.72 / $3,564.08 / $6,850.67	Professional		$3,320.72	$3,564.08	$6,850.67