Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $67.73 / $84.67	Professional		$67.73	$67.73	$84.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.44 / $53.87 / $128.51	Facility		$29.44	$53.87	$128.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,428.91 / $4,428.91 / $4,428.91	Professional		$4,428.91	$4,428.91	$4,428.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $339.66 / $339.66 / $339.66	Facility		$339.66	$339.66	$339.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.44 / $38.84 / $108.51	Facility		$29.44	$38.84	$108.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,428.91 / $4,428.91 / $4,428.91	Professional		$4,428.91	$4,428.91	$4,428.91