Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $66.68 / $75.53	Facility		$45.60	$66.68	$75.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.02 / $64.02 / $64.02	Professional		$64.02	$64.02	$64.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.28 / $52.20 / $61.88	Facility		$38.28	$52.20	$61.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $66.68 / $75.53	Facility		$45.60	$66.68	$75.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.02 / $64.02 / $64.02	Professional		$64.02	$64.02	$64.02