Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility		$2,951.21	$2,951.21	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,388.44 / $4,897.79	Professional		$2,818.38	$3,388.44	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $3,090.30 / $3,630.78	Professional		$389.05	$3,090.30	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $407.38 / $630.96	Facility		$363.08	$407.38	$630.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,951.21 / $6,606.93	Professional		$2,818.38	$2,951.21	$6,606.93
Pacific Source 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
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $3,388.44 / $5,754.40	Facility		$316.23	$3,388.44	$5,754.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,090.30 / $3,090.30	Professional		$79.43	$3,090.30	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $3,311.31	Facility		$371.54	$371.54	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,995.26 / $3,548.13	Professional		$1,862.09	$1,995.26	$3,548.13