Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,936.64 / $2,936.64 / $2,936.64	Facility		$2,936.64	$2,936.64	$2,936.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,793.66 / $2,793.66 / $2,936.64	Professional		$2,793.66	$2,793.66	$2,936.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,626.76 / $3,626.76 / $3,626.76	Facility		$3,626.76	$3,626.76	$3,626.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.52 / $3,082.75 / $3,626.76	Professional		$387.52	$3,082.75	$3,626.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $431.86 / $2,936.64 / $3,908.30	Facility		$431.86	$2,936.64	$3,908.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $359.33 / $410.37 / $493.06	Professional		$359.33	$410.37	$493.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,128.24 / $4,128.24 / $79,999.20	Facility		$4,128.24	$4,128.24	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,128.24 / $4,128.24 / $4,128.24	Professional		$4,128.24	$4,128.24	$4,128.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $312.66 / $3,287.07 / $5,713.00	Facility		$312.66	$3,287.07	$5,713.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $387.52 / $534.20 / $3,626.76	Professional		$387.52	$534.20	$3,626.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,853.92 / $1,983.52 / $3,561.33	Professional		$1,853.92	$1,983.52	$3,561.33