Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $28.35 / $28.35	Professional		$28.35	$28.35	$28.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $11.51 / $19.91	Facility		$11.51	$11.51	$19.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $11.51 / $79,999.20	Facility		$11.51	$11.51	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $14.39 / $34.07	Facility		$0.02	$14.39	$34.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $14.39 / $28.35	Professional		$13.72	$14.39	$28.35