Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $144.54 / $204.17	Facility		$97.72	$144.54	$204.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $154.88 / $177.83	Facility		$114.82	$154.88	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $151.36 / $208.93	Facility		$97.72	$151.36	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21