Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.44 / $86.40 / $97.20	Facility		$53.44	$86.40	$97.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $84.53 / $84.53 / $84.53	Professional		$84.53	$84.53	$84.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.36 / $68.25 / $80.52	Facility		$51.36	$68.25	$80.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.44 / $86.40 / $97.20	Facility		$53.44	$86.40	$97.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.53 / $84.53 / $84.53	Professional		$84.53	$84.53	$84.53