Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,554.24 / $6,554.24 / $6,554.24	Facility		$6,554.24	$6,554.24	$6,554.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,554.24 / $8,703.36 / $8,703.36	Professional		$6,554.24	$8,703.36	$8,703.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,694.63 / $10,694.63 / $10,694.63	Facility		$10,694.63	$10,694.63	$10,694.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.51 / $9,090.44 / $10,694.63	Professional		$1,230.51	$9,090.44	$10,694.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $963.86 / $9,138.53 / $11,923.60	Facility		$963.86	$9,138.53	$11,923.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $915.90 / $1,654.02 / $1,741.07	Professional		$915.90	$1,654.02	$1,741.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9,815.53 / $9,815.53 / $79,999.20	Facility		$9,815.53	$9,815.53	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $9,815.53 / $9,815.53 / $9,815.53	Professional		$9,815.53	$9,815.53	$9,815.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $697.83 / $10,173.02 / $17,400.24	Facility		$697.83	$10,173.02	$17,400.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,402.49 / $1,657.17 / $10,694.63	Professional		$1,402.49	$1,657.17	$10,694.63
United Facility/Professional Professional Modifier Low / Median / High Price $4,683.80 / $4,922.04 / $9,634.79	Professional		$4,683.80	$4,922.04	$9,634.79