Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.97 / $61.64 / $61.64	Facility		$36.97	$61.64	$61.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.94 / $43.94 / $43.94	Professional		$43.94	$43.94	$43.94