Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.75 / $126.75 / $158.44	Professional		$126.75	$126.75	$158.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.59 / $131.59 / $143.04	Professional		$131.59	$131.59	$143.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $180.80 / $244.88 / $244.88	Facility		$180.80	$244.88	$244.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.48 / $87.49 / $102.92	Professional		$81.48	$87.49	$102.92
United Facility/Professional Facility Modifier Low / Median / High Price $38.60 / $38.60 / $38.60	Facility		$38.60	$38.60	$38.60