Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,135.84 / $8,135.84 / $8,135.84	Facility		$8,135.84	$8,135.84	$8,135.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,135.84 / $10,803.60 / $10,803.60	Professional		$8,135.84	$10,803.60	$10,803.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,275.38 / $13,275.38 / $13,275.38	Facility		$13,275.38	$13,275.38	$13,275.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,527.46 / $11,284.07 / $13,275.38	Professional		$1,527.46	$11,284.07	$13,275.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,256.75 / $11,343.78 / $14,800.93	Facility		$1,256.75	$11,343.78	$14,800.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,136.93 / $2,053.14 / $2,161.19	Professional		$1,136.93	$2,053.14	$2,161.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12,184.26 / $12,184.26 / $79,999.20	Facility		$12,184.26	$12,184.26	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $12,184.26 / $12,184.26 / $12,184.26	Professional		$12,184.26	$12,184.26	$12,184.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $866.23 / $12,628.01 / $21,599.37	Facility		$866.23	$12,628.01	$21,599.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,740.94 / $2,057.07 / $13,275.38	Professional		$1,740.94	$2,057.07	$13,275.38
United Facility/Professional Professional Modifier Low / Median / High Price $5,751.20 / $6,109.84 / $11,959.80	Professional		$5,751.20	$6,109.84	$11,959.80