Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $54.95 / $74.13	Facility		$39.81	$54.95	$74.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $52.48 / $60.26	Facility		$38.02	$52.48	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $57.54 / $74.13	Facility		$39.81	$57.54	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57