Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,030.00 / $2,030.00 / $2,030.00	Professional		$2,030.00	$2,030.00	$2,030.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,207.40 / $4,344.20 / $4,344.20	Facility		$3,207.40	$4,344.20	$4,344.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,233.00 / $2,233.00 / $2,923.20	Professional		$2,233.00	$2,233.00	$2,923.20