Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,816.16 / $4,816.16 / $4,816.16	Facility		$4,816.16	$4,816.16	$4,816.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,816.16 / $6,395.34 / $6,395.34	Professional		$4,816.16	$6,395.34	$6,395.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,109.46 / $5,109.46 / $5,109.46	Facility		$5,109.46	$5,109.46	$5,109.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $904.20 / $4,343.04 / $5,109.46	Professional		$904.20	$4,343.04	$5,109.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $708.26 / $6,715.11 / $8,761.62	Facility		$708.26	$6,715.11	$8,761.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $673.03 / $1,215.38 / $1,279.34	Professional		$673.03	$1,215.38	$1,279.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,212.63 / $7,212.63 / $79,999.20	Facility		$7,212.63	$7,212.63	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $7,212.63 / $7,212.63 / $7,212.63	Professional		$7,212.63	$7,212.63	$7,212.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.78 / $6,715.11 / $12,786.02	Facility		$512.78	$6,715.11	$12,786.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,030.57 / $1,217.71 / $4,343.04	Professional		$1,030.57	$1,217.71	$4,343.04
United Facility/Professional Professional Modifier Low / Median / High Price $3,441.72 / $3,616.80 / $7,079.73	Professional		$3,441.72	$3,616.80	$7,079.73