Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $32.21 / $40.27	Professional		$32.21	$32.21	$40.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $26.00 / $80.00	Facility		$14.10	$26.00	$80.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,121.38 / $2,121.38 / $2,121.38	Professional		$2,121.38	$2,121.38	$2,121.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $161.56 / $161.56 / $161.56	Facility		$161.56	$161.56	$161.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $18.61 / $61.71	Facility		$14.10	$18.61	$61.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,121.38 / $2,121.38 / $2,121.38	Professional		$2,121.38	$2,121.38	$2,121.38