Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.00 / $43.00 / $43.00	Facility		$43.00	$43.00	$43.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $14.37 / $43.00	Professional		$12.62	$14.37	$43.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $14.21 / $14.21	Facility		$14.21	$14.21	$14.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $12.08 / $14.21	Professional		$12.08	$12.08	$14.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $14.37 / $19.69	Facility		$12.62	$14.37	$19.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $17.71 / $17,728.12	Professional		$17.44	$17.71	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $14.37 / $20.55	Facility		$14.21	$14.37	$20.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $19.28 / $2,400,000.00	Professional		$12.08	$19.28	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $9.69 / $16.17	Professional		$9.69	$9.69	$16.17