Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,458.88 / $6,458.88 / $6,458.88	Facility		$6,458.88	$6,458.88	$6,458.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,365.88 / $6,365.88 / $6,458.88	Professional		$6,365.88	$6,365.88	$6,458.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,391.94 / $8,391.94 / $8,391.94	Facility		$8,391.94	$8,391.94	$8,391.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.52 / $7,133.15 / $8,391.94	Professional		$899.52	$7,133.15	$8,391.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $949.83 / $6,684.17 / $8,721.26	Facility		$949.83	$6,684.17	$8,721.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $834.07 / $902.58 / $1,144.51	Professional		$834.07	$902.58	$1,144.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9,079.26 / $9,079.26 / $79,999.20	Facility		$9,079.26	$9,079.26	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $9,079.26 / $9,079.26 / $9,079.26	Professional		$9,079.26	$9,079.26	$9,079.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $687.68 / $7,630.07 / $17,146.87	Facility		$687.68	$7,630.07	$17,146.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $899.52 / $1,217.35 / $7,133.15	Professional		$899.52	$1,217.35	$7,133.15
United Facility/Professional Professional Modifier Low / Median / High Price $4,224.28 / $4,224.28 / $8,115.73	Professional		$4,224.28	$4,224.28	$8,115.73