Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.95 / $191.40 / $211.41	Facility		$114.95	$191.40	$211.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $184.08 / $184.08 / $184.08	Professional		$184.08	$184.08	$184.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $112.89 / $154.58 / $177.48	Facility		$112.89	$154.58	$177.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.95 / $191.40 / $211.41	Facility		$114.95	$191.40	$211.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.08 / $184.08 / $184.08	Professional		$184.08	$184.08	$184.08