Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.24 / $4,168.24 / $4,168.24	Facility		$4,168.24	$4,168.24	$4,168.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,168.24 / $5,534.94 / $5,534.94	Professional		$4,168.24	$5,534.94	$5,534.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,704.40 / $3,704.40 / $3,704.40	Facility		$3,704.40	$3,704.40	$3,704.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $782.55 / $3,148.74 / $3,704.40	Professional		$782.55	$3,148.74	$3,704.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $613.99 / $5,811.69 / $7,582.87	Facility		$613.99	$5,811.69	$7,582.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $582.49 / $1,051.88 / $1,107.24	Professional		$582.49	$1,051.88	$1,107.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,242.35 / $6,242.35 / $79,999.20	Facility		$6,242.35	$6,242.35	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $6,242.35 / $6,242.35 / $6,242.35	Professional		$6,242.35	$6,242.35	$6,242.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $443.80 / $5,811.69 / $8,110.00	Facility		$443.80	$5,811.69	$8,110.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $891.93 / $1,053.89 / $3,704.40	Professional		$891.93	$1,053.89	$3,704.40
United Facility/Professional Professional Modifier Low / Median / High Price $2,978.76 / $3,130.20 / $6,129.80	Professional		$2,978.76	$3,130.20	$6,129.80