Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.34 / $11.34 / $11.34	Facility		$11.34	$11.34	$11.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $11.34 / $11.34	Professional		$11.34	$11.34	$11.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $17.84 / $17.84	Professional		$17.84	$17.84	$17.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.34 / $16.22 / $24.38	Facility		$11.34	$16.22	$24.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $31.08 / $79,999.20	Facility		$31.08	$31.08	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.34 / $16.22 / $2,400,000.00	Facility		$11.34	$16.22	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $17.84 / $17.84	Professional		$17.84	$17.84	$17.84
United Facility/Professional Professional Modifier Low / Median / High Price $35.51 / $47.51 / $64.06	Professional		$35.51	$47.51	$64.06