Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $213.80 / $239.88	Facility		$158.49	$213.80	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $131.83 / $131.83	Professional		$83.18	$131.83	$131.83