Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $426.58 / $426.58	Professional		$14.45	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Professional		$5.25	$5.25	$5.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $21.88 / $426.58	Professional		$14.45	$21.88	$426.58
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 Professional Modifier Low / Median / High Price $1.17 / $5.62 / $70.79	Professional		$1.17	$5.62	$70.79