Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,313.68 / $4,313.68 / $4,313.68	Facility		$4,313.68	$4,313.68	$4,313.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,313.68 / $5,060.46 / $5,060.46	Professional		$4,313.68	$5,060.46	$5,060.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,608.68 / $7,608.68 / $7,608.68	Facility		$7,608.68	$7,608.68	$7,608.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.92 / $6,467.38 / $7,608.68	Professional		$816.92	$6,467.38	$7,608.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $601.17 / $983.65 / $5,741.00	Facility		$601.17	$983.65	$5,741.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $602.80 / $749.44 / $983.65	Professional		$602.80	$749.44	$983.65
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 $459.28 / $4,313.68 / $7,608.68	Facility		$459.28	$4,313.68	$7,608.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $801.50 / $968.06 / $7,608.68	Professional		$801.50	$968.06	$7,608.68
United Facility/Professional Professional Modifier Low / Median / High Price $3,049.44 / $3,357.32 / $6,453.73	Professional		$3,049.44	$3,357.32	$6,453.73