Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,801.89 / $5,495.41	Professional		$3,162.28	$3,801.89	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $3,467.37 / $4,168.69	Professional		$436.52	$3,467.37	$4,168.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $457.09 / $707.95	Facility		$407.38	$457.09	$707.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,311.31 / $7,413.10	Professional		$3,162.28	$3,311.31	$7,413.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility		$4,677.35	$4,677.35	$4,677.35
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $3,801.89 / $6,456.54	Facility		$346.74	$3,801.89	$6,456.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,467.37 / $3,467.37	Professional		$79.43	$3,467.37	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $3,715.35	Facility		$426.58	$426.58	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,238.72 / $4,073.80	Professional		$2,089.30	$2,238.72	$4,073.80