Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.80 / $147.02 / $164.43	Facility		$76.80	$147.02	$164.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $143.12 / $143.12 / $143.12	Professional		$143.12	$143.12	$143.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $86.73 / $116.59 / $138.04	Facility		$86.73	$116.59	$138.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.80 / $147.02 / $164.43	Facility		$76.80	$147.02	$164.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.12 / $143.12 / $143.12	Professional		$143.12	$143.12	$143.12