Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.59 / $16.59 / $16.59	Facility		$16.59	$16.59	$16.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $16.59 / $16.59	Professional		$16.59	$16.59	$16.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.59 / $23.72 / $35.67	Facility		$16.59	$23.72	$35.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $55,799.44 / $116,998.83	Professional		$13,910.16	$55,799.44	$116,998.83
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 $16.59 / $35.67 / $3,288,000.00	Facility		$16.59	$35.67	$3,288,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
United Facility/Professional Professional Modifier Low / Median / High Price $34.08 / $38.86 / $38.86	Professional		$34.08	$38.86	$38.86