Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $12.39 / $15.49	Professional		$12.39	$12.39	$15.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $12.17 / $37.74	Facility		$4.51	$12.17	$37.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $817.60 / $817.60 / $817.60	Professional		$817.60	$817.60	$817.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $62.13 / $62.13 / $62.13	Facility		$62.13	$62.13	$62.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $4.51 / $23.96	Facility		$4.51	$4.51	$23.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $817.60 / $817.60 / $817.60	Professional		$817.60	$817.60	$817.60