Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,883.69 / $2,704.91 / $3,156.30	Facility		$1,883.69	$2,704.91	$3,156.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,361.54 / $2,361.54 / $2,361.54	Professional		$2,361.54	$2,361.54	$2,361.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,537.44 / $2,146.01 / $2,580.60	Facility		$1,537.44	$2,146.01	$2,580.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,738.93 / $2,680.90 / $3,156.30	Facility		$1,738.93	$2,680.90	$3,156.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,361.54 / $2,361.54 / $2,361.54	Professional		$2,361.54	$2,361.54	$2,361.54