Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,782.00 / $2,388.78 / $2,627.07	Facility		$1,782.00	$2,388.78	$2,627.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,065.05 / $3,282.23 / $3,282.23	Facility		$3,065.05	$3,282.23	$3,282.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,374.94 / $2,977.26 / $3,804.73	Professional		$2,374.94	$2,977.26	$3,804.73