Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $39.65 / $49.56	Professional		$39.65	$39.65	$49.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.37 / $31.70 / $78.00	Facility		$15.37	$31.70	$78.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,606.83 / $2,606.83 / $2,606.83	Professional		$2,606.83	$2,606.83	$2,606.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $198.84 / $198.84 / $198.84	Facility		$198.84	$198.84	$198.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.37 / $22.86 / $75.50	Facility		$15.37	$22.86	$75.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,606.83 / $2,606.83 / $2,606.83	Professional		$2,606.83	$2,606.83	$2,606.83