Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $251.19	Professional		$13.49	$13.49	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $251.19	Professional		$13.49	$13.49	$251.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Professional		$6,606.93	$6,606.93	$6,606.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,691,534.80 / $2,691,534.80 / $2,691,534.80	Facility		$2,691,534.80	$2,691,534.80	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $15.14 / $70.79	Professional		$1.29	$15.14	$70.79