Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $77.62 / $109.65	Facility		$52.48	$77.62	$109.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $77.62 / $91.20	Facility		$57.54	$77.62	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $83.18 / $114.82	Facility		$52.48	$83.18	$114.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00