Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,515.60 / $2,515.60 / $2,515.60	Professional		$2,515.60	$2,515.60	$2,515.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,974.65 / $5,383.38 / $5,383.38	Facility		$3,974.65	$5,383.38	$5,383.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,767.16 / $2,767.16 / $3,521.84	Professional		$2,767.16	$2,767.16	$3,521.84