Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.32 / $64.48 / $73.70	Facility		$43.32	$64.48	$73.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Professional		$64.00	$64.00	$64.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $50.74 / $61.64	Facility		$37.79	$50.74	$61.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.32 / $64.48 / $73.70	Facility		$43.32	$64.48	$73.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Professional		$64.00	$64.00	$64.00