Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.00 / $173.00 / $173.00	Facility		$173.00	$173.00	$173.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $173.00 / $173.00	Professional		$173.00	$173.00	$173.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.02 / $263.02 / $263.02	Facility		$263.02	$263.02	$263.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.01 / $192.01 / $263.02	Professional		$192.01	$192.01	$263.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.00 / $173.00 / $237.01	Facility		$173.00	$173.00	$237.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.00 / $173.00 / $263.02	Facility		$173.00	$173.00	$263.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.01 / $2,250,000.00 / $2,400,000.00	Professional		$192.01	$2,250,000.00	$2,400,000.00