Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $450.91 / $450.91 / $450.91	Facility		$450.91	$450.91	$450.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $518.54 / $545.60 / $951.42	Facility		$518.54	$545.60	$951.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $496.00 / $496.00 / $631.27	Professional		$496.00	$496.00	$631.27