Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $109.65 / $154.88	Facility		$61.66	$109.65	$154.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $117.49 / $134.90	Facility		$87.10	$117.49	$134.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $107.15 / $158.49	Facility		$64.57	$107.15	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54