Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $140.00 / $140.00	Facility		$140.00	$140.00	$140.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $140.00 / $140.00	Professional		$140.00	$140.00	$140.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.29 / $223.29 / $223.29	Facility		$223.29	$223.29	$223.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $163.00 / $163.00	Professional		$163.00	$163.00	$163.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $140.00 / $191.80	Facility		$140.00	$140.00	$191.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $328.68 / $328.68 / $79,999.20	Facility		$328.68	$328.68	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $328.68 / $328.68 / $328.68	Professional		$328.68	$328.68	$328.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $140.00 / $223.29	Facility		$140.00	$140.00	$223.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $2,250,000.00 / $2,400,000.00	Professional		$163.00	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.65 / $170.65 / $284.41	Professional		$170.65	$170.65	$284.41