Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.64 / $83.47 / $83.47	Professional		$61.64	$83.47	$83.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.20 / $385.20 / $385.20	Professional		$385.20	$385.20	$385.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.05 / $83.47 / $128.71	Facility		$77.05	$83.47	$128.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.20 / $37.20 / $37.20	Facility		$37.20	$37.20	$37.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.05 / $83.47 / $179.46	Facility		$77.05	$83.47	$179.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $118.45 / $385.20 / $10,000.00	Professional		$118.45	$385.20	$10,000.00