Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.92 / $40.92 / $49.03	Professional		$40.92	$40.92	$49.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.13 / $87.67 / $119.28	Facility		$30.13	$87.67	$119.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.74 / $91.74 / $91.74	Professional		$91.74	$91.74	$91.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.31 / $85.09 / $91.12	Facility		$58.31	$85.09	$91.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.13 / $91.98 / $124.86	Facility		$30.13	$91.98	$124.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.74 / $91.74 / $91.74	Professional		$91.74	$91.74	$91.74