Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,191.44 / $6,191.44 / $6,191.44	Facility		$6,191.44	$6,191.44	$6,191.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,191.44 / $8,221.62 / $8,221.62	Professional		$6,191.44	$8,221.62	$8,221.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,102.62 / $10,102.62 / $10,102.62	Facility		$10,102.62	$10,102.62	$10,102.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,162.40 / $8,587.24 / $10,102.62	Professional		$1,162.40	$8,587.24	$10,102.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $910.51 / $8,632.70 / $11,263.62	Facility		$910.51	$8,632.70	$11,263.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $865.21 / $1,562.46 / $1,644.69	Professional		$865.21	$1,562.46	$1,644.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9,272.19 / $9,272.19 / $79,999.20	Facility		$9,272.19	$9,272.19	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $9,272.19 / $9,272.19 / $9,272.19	Professional		$9,272.19	$9,272.19	$9,272.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $659.21 / $9,609.96 / $16,437.07	Facility		$659.21	$9,609.96	$16,437.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,324.86 / $1,565.44 / $10,102.62	Professional		$1,324.86	$1,565.44	$10,102.62
United Facility/Professional Professional Modifier Low / Median / High Price $4,424.56 / $4,649.60 / $9,101.46	Professional		$4,424.56	$4,649.60	$9,101.46