Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $416.87 / $512.86	Facility		$309.03	$416.87	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $389.05 / $407.38	Facility		$288.40	$389.05	$407.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $446.68 / $575.44	Facility		$309.03	$446.68	$575.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52