Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $3,090.30	Facility		$1,819.70	$2,570.40	$3,090.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $2,454.71	Facility		$1,778.28	$2,398.83	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,570.40 / $3,090.30	Facility		$1,862.09	$2,570.40	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27