Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.96 / $82.05 / $91.53	Facility		$59.96	$82.05	$91.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.61 / $79.61 / $79.61	Professional		$79.61	$79.61	$79.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.51 / $62.22 / $75.26	Facility		$46.51	$62.22	$75.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.96 / $82.05 / $91.53	Facility		$59.96	$82.05	$91.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.61 / $79.61 / $79.61	Professional		$79.61	$79.61	$79.61