Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $23.75	Professional		$19.00	$19.00	$23.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.25 / $17.52 / $53.92	Facility		$8.25	$17.52	$53.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,240.27 / $1,240.27 / $1,240.27	Professional		$1,240.27	$1,240.27	$1,240.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $95.28 / $95.28 / $95.28	Facility		$95.28	$95.28	$95.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.25 / $8.25 / $36.29	Facility		$8.25	$8.25	$36.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,240.27 / $1,240.27 / $1,240.27	Professional		$1,240.27	$1,240.27	$1,240.27