Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $23.99	Professional		$19.05	$19.05	$23.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $17.38 / $39.81	Facility		$8.32	$17.38	$39.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $17.38 / $39.81	Facility		$8.32	$17.38	$39.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27