Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,188.83 / $2,948.22 / $3,212.65	Facility		$2,188.83	$2,948.22	$3,212.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,795.78 / $4,073.40 / $4,073.40	Facility		$3,795.78	$4,073.40	$4,073.40