Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $206.88 / $234.89 / $289.70	Facility		$206.88	$234.89	$289.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $217.26 / $217.26 / $217.26	Professional		$217.26	$217.26	$217.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.47 / $188.50 / $201.48	Facility		$141.47	$188.50	$201.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $206.88 / $234.89 / $289.70	Facility		$206.88	$234.89	$289.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.26 / $217.26 / $217.26	Professional		$217.26	$217.26	$217.26