Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,535.76 / $3,535.76 / $3,535.76	Facility		$3,535.76	$3,535.76	$3,535.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,329.76 / $3,329.76 / $3,535.76	Professional		$3,329.76	$3,329.76	$3,535.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,303.28 / $4,303.28 / $4,303.28	Facility		$4,303.28	$4,303.28	$4,303.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.38 / $3,657.79 / $4,303.28	Professional		$459.38	$3,657.79	$4,303.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $519.96 / $3,535.76 / $4,705.60	Facility		$519.96	$3,535.76	$4,705.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $425.94 / $494.09 / $584.48	Professional		$425.94	$494.09	$584.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,970.30 / $4,970.30 / $79,999.20	Facility		$4,970.30	$4,970.30	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,970.30 / $4,970.30 / $4,970.30	Professional		$4,970.30	$4,970.30	$4,970.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $376.45 / $3,896.54 / $6,880.00	Facility		$376.45	$3,896.54	$6,880.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $459.38 / $636.69 / $4,303.28	Professional		$459.38	$636.69	$4,303.28
United Facility/Professional Professional Modifier Low / Median / High Price $2,209.71 / $2,209.71 / $4,244.60	Professional		$2,209.71	$2,209.71	$4,244.60