Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $72.44	Professional		$57.54	$57.54	$72.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $45.71 / $123.03	Facility		$25.12	$45.71	$123.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $45.71 / $109.65	Facility		$25.12	$45.71	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89