Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,596.65 / $3,075.15 / $3,640.38	Facility		$2,596.65	$3,075.15	$3,640.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,729.67 / $2,729.67 / $2,729.67	Professional		$2,729.67	$2,729.67	$2,729.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,834.32 / $2,360.02 / $2,612.34	Facility		$1,834.32	$2,360.02	$2,612.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,596.65 / $3,075.15 / $3,640.38	Facility		$2,596.65	$3,075.15	$3,640.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,729.67 / $2,729.67 / $2,729.67	Professional		$2,729.67	$2,729.67	$2,729.67