Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.77 / $183.77 / $183.77	Facility		$183.77	$183.77	$183.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.64 / $182.86 / $183.77	Professional		$182.64	$182.86	$183.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.84 / $179.84 / $179.84	Professional		$179.84	$179.84	$179.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $182.64 / $182.86 / $250.52	Facility		$182.64	$182.86	$250.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $239.20 / $239.20 / $79,999.20	Facility		$239.20	$239.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $182.64 / $182.86 / $2,850,000.00	Facility		$182.64	$182.86	$2,850,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.84 / $2,250,000.00 / $2,400,000.00	Professional		$179.84	$2,250,000.00	$2,400,000.00