Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $7,413.10 / $10,000.00	Professional		$4,786.30	$7,413.10	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Facility		$5,248.07	$5,248.07	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $4,466.84 / $5,248.07	Professional		$891.25	$4,466.84	$5,248.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,023.29 / $1,230.27	Facility		$954.99	$1,023.29	$1,230.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,606.93 / $13,182.57	Professional		$6,309.57	$6,606.93	$13,182.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Professional		$7,244.36	$7,244.36	$7,244.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $6,309.57 / $9,332.54	Facility		$512.86	$6,309.57	$9,332.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $4,466.84 / $4,466.84	Professional		$79.43	$4,466.84	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $5,623.41	Facility		$851.14	$851.14	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,630.78 / $6,918.31	Professional		$3,311.31	$3,630.78	$6,918.31