Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,857.20 / $3,857.20 / $3,857.20	Facility		$3,857.20	$3,857.20	$3,857.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,857.20 / $5,121.84 / $5,121.84	Professional		$3,857.20	$5,121.84	$5,121.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,321.80 / $4,321.80 / $4,321.80	Facility		$4,321.80	$4,321.80	$4,321.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.15 / $3,673.53 / $4,321.80	Professional		$724.15	$3,673.53	$4,321.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $567.23 / $5,377.93 / $7,016.92	Facility		$567.23	$5,377.93	$7,016.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $539.01 / $973.37 / $1,024.59	Professional		$539.01	$973.37	$1,024.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,776.46 / $5,776.46 / $79,999.20	Facility		$5,776.46	$5,776.46	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5,776.46 / $5,776.46 / $5,776.46	Professional		$5,776.46	$5,776.46	$5,776.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $410.67 / $5,377.93 / $7,504.00	Facility		$410.67	$5,377.93	$7,504.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $825.36 / $975.23 / $3,673.53	Professional		$825.36	$975.23	$3,673.53
United Facility/Professional Professional Modifier Low / Median / High Price $2,756.40 / $2,896.60 / $5,561.30	Professional		$2,756.40	$2,896.60	$5,561.30