Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $79.43 / $107.15	Facility		$53.70	$79.43	$107.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $79.43 / $91.20	Facility		$57.54	$79.43	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $83.18 / $112.20	Facility		$53.70	$83.18	$112.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72