Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $99.57 / $111.78	Facility		$65.33	$99.57	$111.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.28 / $97.28 / $97.28	Professional		$97.28	$97.28	$97.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.33 / $75.98 / $88.92	Facility		$57.33	$75.98	$88.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $99.57 / $111.78	Facility		$65.33	$99.57	$111.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.28 / $97.28 / $97.28	Professional		$97.28	$97.28	$97.28