Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $13,803.84	Professional		$6,606.93	$10,232.93	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Facility		$10,715.19	$10,715.19	$10,715.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $9,120.11 / $10,715.19	Professional		$1,230.27	$9,120.11	$10,715.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,412.54 / $1,698.24	Facility		$1,318.26	$1,412.54	$1,698.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $9,120.11 / $18,197.01	Professional		$8,709.64	$9,120.11	$18,197.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Facility		$9,772.37	$9,772.37	$9,772.37
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Professional		$9,772.37	$9,772.37	$9,772.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $10,715.19 / $2,691,534.80	Facility		$691.83	$10,715.19	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $9,120.11 / $9,120.11	Professional		$79.43	$9,120.11	$9,120.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $7,762.47	Facility		$1,148.15	$1,148.15	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,897.79 / $9,332.54	Professional		$4,570.88	$4,897.79	$9,332.54