Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,946.00 / $2,946.00 / $2,946.00	Facility		$2,946.00	$2,946.00	$2,946.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,812.74 / $2,812.74 / $2,946.00	Professional		$2,812.74	$2,812.74	$2,946.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,657.49 / $3,657.49 / $3,657.49	Facility		$3,657.49	$3,657.49	$3,657.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.93 / $3,108.87 / $3,657.49	Professional		$390.93	$3,108.87	$3,657.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $437.22 / $2,953.38 / $3,920.70	Facility		$437.22	$2,953.38	$3,920.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $362.48 / $411.67 / $497.40	Professional		$362.48	$411.67	$497.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,141.18 / $4,141.18 / $79,999.20	Facility		$4,141.18	$4,141.18	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,141.18 / $4,141.18 / $4,141.18	Professional		$4,141.18	$4,141.18	$4,141.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $313.66 / $3,316.00 / $5,732.00	Facility		$313.66	$3,316.00	$5,732.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $390.93 / $537.85 / $3,657.49	Professional		$390.93	$537.85	$3,657.49
United Facility/Professional Professional Modifier Low / Median / High Price $1,866.56 / $1,866.56 / $3,585.67	Professional		$1,866.56	$1,866.56	$3,585.67