Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,563.92 / $4,563.92 / $4,563.92	Facility		$4,563.92	$4,563.92	$4,563.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,563.92 / $6,060.54 / $6,060.54	Professional		$4,563.92	$6,060.54	$6,060.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,447.14 / $7,447.14 / $7,447.14	Facility		$7,447.14	$7,447.14	$7,447.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $856.86 / $6,330.07 / $7,447.14	Professional		$856.86	$6,330.07	$7,447.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $653.80 / $6,363.57 / $8,302.94	Facility		$653.80	$6,363.57	$8,302.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $637.78 / $1,151.76 / $1,212.38	Professional		$637.78	$1,151.76	$1,212.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,834.96 / $6,834.96 / $79,999.20	Facility		$6,834.96	$6,834.96	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $6,834.96 / $6,834.96 / $6,834.96	Professional		$6,834.96	$6,834.96	$6,834.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $485.93 / $7,083.93 / $8,880.00	Facility		$485.93	$7,083.93	$8,880.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $856.86 / $1,153.96 / $7,447.14	Professional		$856.86	$1,153.96	$7,447.14
United Facility/Professional Professional Modifier Low / Median / High Price $3,261.56 / $3,427.44 / $6,711.70	Professional		$3,261.56	$3,427.44	$6,711.70