Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.92 / $21.47 / $26.48	Professional		$17.92	$21.47	$26.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $51.46 / $64.59	Facility		$22.69	$51.46	$64.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.64 / $53.64 / $53.64	Professional		$53.64	$53.64	$53.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.74 / $42.75 / $50.25	Facility		$33.74	$42.75	$50.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $51.80 / $64.68	Facility		$22.69	$51.80	$64.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.64 / $53.64 / $53.64	Professional		$53.64	$53.64	$53.64