Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $19.50	Professional		$15.85	$15.85	$19.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $79.43	Professional		$70.79	$79.43	$79.43