Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $7,762.47 / $10,471.29	Professional		$4,897.79	$7,762.47	$10,471.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility		$8,128.31	$8,128.31	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $6,918.31 / $8,128.31	Professional		$933.25	$6,918.31	$8,128.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,071.52 / $1,258.93	Facility		$1,000.00	$1,071.52	$1,258.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,918.31 / $13,803.84	Professional		$6,606.93	$6,918.31	$13,803.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Professional		$7,413.10	$7,413.10	$7,413.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $8,128.31 / $2,691,534.80	Facility		$524.81	$8,128.31	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $6,918.31 / $6,918.31	Professional		$79.43	$6,918.31	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $5,888.44	Facility		$870.96	$870.96	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,715.35 / $7,244.36	Professional		$3,467.37	$3,715.35	$7,244.36