Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $50.12	Professional		$39.81	$39.81	$50.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $31.62 / $83.18	Facility		$15.49	$31.62	$83.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $31.62 / $77.62	Facility		$15.49	$31.62	$77.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27