Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility		$8,128.31	$8,128.31	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $12,589.25 / $16,982.44	Professional		$8,128.31	$12,589.25	$16,982.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Facility		$13,182.57	$13,182.57	$13,182.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $11,220.18 / $13,182.57	Professional		$1,513.56	$11,220.18	$13,182.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,778.28 / $2,089.30	Facility		$1,621.81	$1,778.28	$2,089.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $11,220.18 / $22,387.21	Professional		$10,715.19	$11,220.18	$22,387.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $12,302.69 / $12,302.69	Facility		$12,302.69	$12,302.69	$12,302.69
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $12,302.69 / $12,302.69	Professional		$12,302.69	$12,302.69	$12,302.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $13,182.57 / $2,691,534.80	Facility		$870.96	$13,182.57	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $11,220.18 / $11,220.18	Professional		$79.43	$11,220.18	$11,220.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $9,549.93	Facility		$1,445.44	$1,445.44	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $6,165.95 / $11,748.98	Professional		$5,754.40	$6,165.95	$11,748.98