Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,836.80 / $6,836.80 / $6,836.80	Facility		$6,836.80	$6,836.80	$6,836.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,836.80 / $9,078.66 / $9,078.66	Professional		$6,836.80	$9,078.66	$9,078.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,155.72 / $11,155.72 / $11,155.72	Facility		$11,155.72	$11,155.72	$11,155.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,283.58 / $9,482.36 / $11,155.72	Professional		$1,283.58	$9,482.36	$11,155.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,005.41 / $9,532.59 / $12,437.76	Facility		$1,005.41	$9,532.59	$12,437.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $955.40 / $1,725.33 / $1,816.14	Professional		$955.40	$1,725.33	$1,816.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,238.79 / $10,238.79 / $79,999.20	Facility		$10,238.79	$10,238.79	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $10,238.79 / $10,238.79 / $10,238.79	Professional		$10,238.79	$10,238.79	$10,238.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $727.92 / $10,611.70 / $13,301.00	Facility		$727.92	$10,611.70	$13,301.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,462.97 / $1,728.63 / $11,155.72	Professional		$1,462.97	$1,728.63	$11,155.72
United Facility/Professional Professional Modifier Low / Median / High Price $4,832.88 / $5,134.32 / $10,050.20	Professional		$4,832.88	$5,134.32	$10,050.20