Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $21.88	Professional		$7.94	$10.96	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Professional		$0.12	$0.12	$0.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $16.22 / $19.05	Facility		$15.14	$16.22	$19.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $21.88	Professional		$7.94	$10.96	$21.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $16.22 / $16.22	Facility		$6.03	$16.22	$16.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $79.43 / $79.43	Professional		$8.32	$79.43	$79.43