Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,159.85 / $6,247.94 / $6,247.94	Facility		$4,159.85	$6,247.94	$6,247.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,357.54 / $3,503.52 / $4,087.44	Facility		$3,357.54	$3,503.52	$4,087.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,211.56 / $3,211.56 / $4,087.44	Professional		$3,211.56	$3,211.56	$4,087.44