Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Facility		$4,570.88	$4,570.88	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $7,079.46 / $9,549.93	Professional		$4,570.88	$7,079.46	$9,549.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $6,309.57 / $7,413.10	Professional		$851.14	$6,309.57	$7,413.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $977.24 / $1,174.90	Facility		$912.01	$977.24	$1,174.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,309.57 / $12,589.25	Professional		$6,025.60	$6,309.57	$12,589.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility		$6,760.83	$6,760.83	$6,760.83
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Professional		$6,760.83	$6,760.83	$6,760.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $7,413.10 / $8,912.51	Facility		$489.78	$7,413.10	$8,912.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $6,309.57 / $6,309.57	Professional		$79.43	$6,309.57	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $5,370.32	Facility		$812.83	$812.83	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,388.44 / $6,760.83	Professional		$3,162.28	$3,388.44	$6,760.83