Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $39.81	Professional		$31.62	$31.62	$39.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $25.12 / $67.61	Facility		$13.80	$25.12	$67.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $25.12 / $60.26	Facility		$13.80	$25.12	$60.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30