Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $350.34 / $487.21 / $580.35	Facility		$350.34	$487.21	$580.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $435.01 / $435.01 / $435.01	Professional		$435.01	$435.01	$435.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $291.67 / $385.28 / $415.38	Facility		$291.67	$385.28	$415.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $350.34 / $487.21 / $580.35	Facility		$350.34	$487.21	$580.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $435.01 / $435.01 / $435.01	Professional		$435.01	$435.01	$435.01