Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.26 / $70.26 / $70.26	Facility		$70.26	$70.26	$70.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.22 / $84.22 / $84.22	Facility		$84.22	$84.22	$84.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $77.20 / $98.25	Professional		$77.20	$77.20	$98.25