Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,934.48 / $3,934.48 / $3,934.48	Facility		$3,934.48	$3,934.48	$3,934.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,934.48 / $5,224.56 / $5,224.56	Professional		$3,934.48	$5,224.56	$5,224.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,818.66 / $3,818.66 / $3,818.66	Facility		$3,818.66	$3,818.66	$3,818.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $738.67 / $3,245.86 / $3,818.66	Professional		$738.67	$3,245.86	$3,818.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $578.60 / $5,485.79 / $7,157.65	Facility		$578.60	$5,485.79	$7,157.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $549.80 / $992.89 / $1,045.15	Professional		$549.80	$992.89	$1,045.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,892.19 / $5,892.19 / $79,999.20	Facility		$5,892.19	$5,892.19	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5,892.19 / $5,892.19 / $5,892.19	Professional		$5,892.19	$5,892.19	$5,892.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $418.90 / $5,485.79 / $7,655.00	Facility		$418.90	$5,485.79	$7,655.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $841.91 / $994.79 / $3,818.66	Professional		$841.91	$994.79	$3,818.66
United Facility/Professional Professional Modifier Low / Median / High Price $2,811.68 / $2,954.68 / $5,783.67	Professional		$2,811.68	$2,954.68	$5,783.67