Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,593.36 / $3,593.36 / $3,593.36	Facility		$3,593.36	$3,593.36	$3,593.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,593.36 / $4,771.80 / $4,771.80	Professional		$3,593.36	$4,771.80	$4,771.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,969.00 / $3,969.00 / $3,969.00	Facility		$3,969.00	$3,969.00	$3,969.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.65 / $3,373.65 / $3,969.00	Professional		$674.65	$3,373.65	$3,969.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $543.36 / $5,010.39 / $6,537.37	Facility		$543.36	$5,010.39	$6,537.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $502.15 / $906.84 / $954.57	Professional		$502.15	$906.84	$954.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,381.43 / $5,381.43 / $79,999.20	Facility		$5,381.43	$5,381.43	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5,381.43 / $5,381.43 / $5,381.43	Professional		$5,381.43	$5,381.43	$5,381.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $382.59 / $5,010.39 / $6,991.00	Facility		$382.59	$5,010.39	$6,991.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $768.94 / $908.58 / $3,373.65	Professional		$768.94	$908.58	$3,373.65
United Facility/Professional Facility Modifier Low / Median / High Price $635.21 / $635.21 / $4,234.72	Facility		$635.21	$635.21	$4,234.72
United Facility/Professional Professional Modifier Low / Median / High Price $2,540.16 / $2,698.60 / $5,282.47	Professional		$2,540.16	$2,698.60	$5,282.47