Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.97 / $100.29 / $115.02	Facility		$62.97	$100.29	$115.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $100.09	Professional		$100.09	$100.09	$100.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $78.39 / $96.56	Facility		$56.69	$78.39	$96.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.97 / $100.29 / $115.02	Facility		$62.97	$100.29	$115.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $100.09	Professional		$100.09	$100.09	$100.09