Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.40 / $701.80 / $1,058.25	Facility		$154.40	$701.80	$1,058.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $210.24 / $210.24 / $210.24	Professional		$210.24	$210.24	$210.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $176.13 / $678.87 / $813.38	Facility		$176.13	$678.87	$813.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.40 / $701.80 / $1,058.25	Facility		$154.40	$701.80	$1,058.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $210.24 / $210.24 / $210.24	Professional		$210.24	$210.24	$210.24