Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,540.00 / $2,127.29 / $2,523.19	Facility		$1,540.00	$2,127.29	$2,523.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,899.01 / $1,899.01 / $1,899.01	Professional		$1,899.01	$1,899.01	$1,899.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,266.97 / $1,673.60 / $1,792.56	Facility		$1,266.97	$1,673.60	$1,792.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,540.00 / $2,127.29 / $2,523.19	Facility		$1,540.00	$2,127.29	$2,523.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,899.01 / $1,899.01 / $1,899.01	Professional		$1,899.01	$1,899.01	$1,899.01