Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,863.36 / $3,863.36 / $3,863.36	Facility		$3,863.36	$3,863.36	$3,863.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,863.36 / $5,130.06 / $5,130.06	Professional		$3,863.36	$5,130.06	$5,130.06
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 $725.31 / $4,232.09 / $4,978.93	Professional		$725.31	$4,232.09	$4,978.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $614.19 / $5,996.40 / $7,028.18	Facility		$614.19	$5,996.40	$7,028.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $539.88 / $974.94 / $1,026.25	Professional		$539.88	$974.94	$1,026.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,785.71 / $5,785.71 / $79,999.20	Facility		$5,785.71	$5,785.71	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5,785.71 / $5,785.71 / $5,785.71	Professional		$5,785.71	$5,785.71	$5,785.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $529.85 / $5,996.40 / $7,517.00	Facility		$529.85	$5,996.40	$7,517.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $826.68 / $976.80 / $4,232.09	Professional		$826.68	$976.80	$4,232.09
United Facility/Professional Professional Modifier Low / Median / High Price $2,901.24 / $3,321.12 / $5,679.13	Professional		$2,901.24	$3,321.12	$5,679.13