Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $7,585.78 / $10,000.00	Professional		$4,786.30	$7,585.78	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $4,365.16 / $5,128.61	Professional		$912.01	$4,365.16	$5,128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,047.13 / $1,230.27	Facility		$977.24	$1,047.13	$1,230.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $13,489.63	Professional		$6,456.54	$7,585.78	$13,489.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Professional		$7,244.36	$7,244.36	$7,244.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $6,456.54 / $2,691,534.80	Facility		$512.86	$6,456.54	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $4,365.16 / $4,365.16	Professional		$79.43	$4,365.16	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $5,623.41	Facility		$851.14	$851.14	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,630.78 / $6,918.31	Professional		$3,388.44	$3,630.78	$6,918.31