Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna 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
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $10,715.19 / $14,454.40	Professional		$6,760.83	$10,715.19	$14,454.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Facility		$11,220.18	$11,220.18	$11,220.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $9,549.93 / $11,220.18	Professional		$1,288.25	$9,549.93	$11,220.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,479.11 / $1,778.28	Facility		$1,380.38	$1,479.11	$1,778.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,549.93 / $19,054.61	Professional		$9,120.11	$9,549.93	$19,054.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Facility		$10,232.93	$10,232.93	$10,232.93
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Professional		$10,232.93	$10,232.93	$10,232.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $11,220.18 / $13,182.57	Facility		$724.44	$11,220.18	$13,182.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $9,549.93 / $9,549.93	Professional		$79.43	$9,549.93	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $8,128.31	Facility		$1,202.26	$1,202.26	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,128.61 / $9,772.37	Professional		$4,786.30	$5,128.61	$9,772.37