Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,818.38 / $3,235.94	Facility		$1,862.09	$2,818.38	$3,235.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $2,570.40	Facility		$1,819.70	$2,454.71	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,818.38 / $3,235.94	Facility		$1,949.84	$2,818.38	$3,235.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23