Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Facility		$6,165.95	$6,165.95	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $9,772.37 / $12,882.50	Professional		$6,165.95	$9,772.37	$12,882.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $8,511.38 / $10,000.00	Professional		$1,174.90	$8,511.38	$10,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,348.96 / $1,584.89	Facility		$1,258.93	$1,348.96	$1,584.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $8,709.64 / $17,378.01	Professional		$8,128.31	$8,709.64	$17,378.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Facility		$9,332.54	$9,332.54	$9,332.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Professional		$9,332.54	$9,332.54	$9,332.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $10,000.00 / $2,691,534.80	Facility		$660.69	$10,000.00	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $8,511.38 / $8,511.38	Professional		$79.43	$8,511.38	$8,511.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $7,244.36	Facility		$1,096.48	$1,096.48	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,677.35 / $8,912.51	Professional		$4,365.16	$4,677.35	$8,912.51