Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,570.40	Professional		$2,137.96	$2,137.96	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,122.02 / $1,584.89	Facility		$758.58	$1,122.02	$1,584.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,258.93	Facility		$776.25	$1,071.52	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,096.48 / $1,584.89	Facility		$758.58	$1,096.48	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38