Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $142.63 / $142.63	Facility		$142.63	$142.63	$142.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $171.16 / $171.16 / $171.16	Facility		$171.16	$171.16	$171.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $156.88 / $199.68	Professional		$156.88	$156.88	$199.68