Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,454.88 / $3,454.88 / $3,454.88	Facility		$3,454.88	$3,454.88	$3,454.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,454.88 / $4,587.72 / $4,587.72	Professional		$3,454.88	$4,587.72	$4,587.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,087.00 / $3,087.00 / $3,087.00	Facility		$3,087.00	$3,087.00	$3,087.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.63 / $2,623.95 / $3,087.00	Professional		$648.63	$2,623.95	$3,087.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $508.07 / $4,817.10 / $6,285.18	Facility		$508.07	$4,817.10	$6,285.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $482.79 / $871.86 / $917.75	Professional		$482.79	$871.86	$917.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,174.10 / $5,174.10 / $79,999.20	Facility		$5,174.10	$5,174.10	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5,174.10 / $5,174.10 / $5,174.10	Professional		$5,174.10	$5,174.10	$5,174.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $367.84 / $4,817.10 / $6,722.00	Facility		$367.84	$4,817.10	$6,722.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $739.28 / $873.53 / $3,087.00	Professional		$739.28	$873.53	$3,087.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,468.96 / $2,594.52 / $5,078.67	Professional		$2,468.96	$2,594.52	$5,078.67