Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.86 / $323.70 / $467.29	Facility		$173.86	$323.70	$467.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $260.35 / $260.35 / $260.35	Professional		$260.35	$260.35	$260.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $211.05 / $304.14 / $368.50	Facility		$211.05	$304.14	$368.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.85 / $317.89 / $467.29	Facility		$177.85	$317.89	$467.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $260.35 / $260.35 / $260.35	Professional		$260.35	$260.35	$260.35