Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $960.48 / $1,409.21 / $1,613.36	Facility		$960.48	$1,409.21	$1,613.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,895.08 / $2,054.29 / $2,054.29	Facility		$1,895.08	$2,054.29	$2,054.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,463.20 / $1,538.15 / $2,202.48	Professional		$1,463.20	$1,538.15	$2,202.48