Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,785.60 / $4,785.60 / $4,785.60	Facility		$4,785.60	$4,785.60	$4,785.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,785.60 / $6,354.78 / $6,354.78	Professional		$4,785.60	$6,354.78	$6,354.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,978.93 / $4,978.93 / $4,978.93	Facility		$4,978.93	$4,978.93	$4,978.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $898.47 / $4,232.09 / $4,978.93	Professional		$898.47	$4,232.09	$4,978.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $703.76 / $6,672.52 / $8,706.04	Facility		$703.76	$6,672.52	$8,706.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $668.75 / $1,207.68 / $1,271.24	Professional		$668.75	$1,207.68	$1,271.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,166.94 / $7,166.94 / $79,999.20	Facility		$7,166.94	$7,166.94	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $7,166.94 / $7,166.94 / $7,166.94	Professional		$7,166.94	$7,166.94	$7,166.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $509.52 / $6,672.52 / $9,310.00	Facility		$509.52	$6,672.52	$9,310.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,024.04 / $1,209.99 / $4,978.93	Professional		$1,024.04	$1,209.99	$4,978.93
United Facility/Professional Professional Modifier Low / Median / High Price $3,419.92 / $3,593.88 / $7,034.87	Professional		$3,419.92	$3,593.88	$7,034.87