Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,947.43 / $4,947.43 / $4,947.43	Facility		$4,947.43	$4,947.43	$4,947.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,947.43 / $6,569.70 / $6,569.70	Professional		$4,947.43	$6,569.70	$6,569.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,072.81 / $8,072.81 / $8,072.81	Facility		$8,072.81	$8,072.81	$8,072.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $928.85 / $6,861.89 / $8,072.81	Professional		$928.85	$6,861.89	$8,072.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $727.56 / $6,898.19 / $9,000.49	Facility		$727.56	$6,898.19	$9,000.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $691.36 / $1,248.52 / $1,314.23	Professional		$691.36	$1,248.52	$1,314.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,409.24 / $7,409.24 / $79,999.20	Facility		$7,409.24	$7,409.24	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $7,409.24 / $7,409.24 / $7,409.24	Professional		$7,409.24	$7,409.24	$7,409.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $526.75 / $7,679.03 / $13,134.55	Facility		$526.75	$7,679.03	$13,134.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,058.66 / $1,250.91 / $8,072.81	Professional		$1,058.66	$1,250.91	$8,072.81
United Facility/Professional Professional Modifier Low / Median / High Price $3,535.52 / $3,715.40 / $7,272.80	Professional		$3,535.52	$3,715.40	$7,272.80