Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,146.10 / $1,661.66 / $1,977.08	Facility		$1,146.10	$1,661.66	$1,977.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,486.14 / $1,486.14 / $1,486.14	Professional		$1,486.14	$1,486.14	$1,486.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $986.93 / $1,321.35 / $1,405.53	Facility		$986.93	$1,321.35	$1,405.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,146.10 / $1,661.66 / $1,977.08	Facility		$1,146.10	$1,661.66	$1,977.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,486.14 / $1,486.14 / $1,486.14	Professional		$1,486.14	$1,486.14	$1,486.14