Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $67.61 / $93.33	Facility		$46.77	$67.61	$93.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $70.79 / $81.28	Facility		$51.29	$70.79	$81.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $72.44 / $97.72	Facility		$46.77	$72.44	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11