Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,420.00 / $3,420.00 / $3,420.00	Professional		$3,420.00	$3,420.00	$3,420.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,721.98 / $1,721.98 / $1,721.98	Facility		$1,721.98	$1,721.98	$1,721.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,257.05 / $1,721.98 / $2,019.28	Professional		$1,257.05	$1,721.98	$2,019.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $887.57 / $887.57 / $887.57	Facility		$887.57	$887.57	$887.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,194.43 / $3,710.30 / $5,858.37	Professional		$3,194.43	$3,710.30	$5,858.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $887.57 / $887.57 / $1,721.98	Facility		$887.57	$887.57	$1,721.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,257.05 / $2,019.28 / $3,482.38	Professional		$1,257.05	$2,019.28	$3,482.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,948.45 / $1,948.45 / $3,734.53	Professional		$1,948.45	$1,948.45	$3,734.53