Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.19 / $94.88 / $175.95	Facility		$31.19	$94.88	$175.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $32.32 / $32.32	Professional		$32.32	$32.32	$32.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.48 / $114.00 / $134.00	Facility		$29.48	$114.00	$134.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.19 / $94.88 / $175.95	Facility		$31.19	$94.88	$175.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $32.32 / $32.32	Professional		$32.32	$32.32	$32.32