Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.82 / $57.82 / $72.28	Professional		$57.82	$57.82	$72.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.13 / $45.96 / $109.63	Facility		$25.13	$45.96	$109.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,779.94 / $3,779.94 / $3,779.94	Professional		$3,779.94	$3,779.94	$3,779.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $289.95 / $289.95 / $289.95	Facility		$289.95	$289.95	$289.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.13 / $33.15 / $106.00	Facility		$25.13	$33.15	$106.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,779.94 / $3,779.94 / $3,779.94	Professional		$3,779.94	$3,779.94	$3,779.94