Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $405.41 / $506.30 / $775.99	Facility		$405.41	$506.30	$775.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $441.74 / $441.74 / $441.74	Professional		$441.74	$441.74	$441.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $230.62 / $318.92 / $426.36	Facility		$230.62	$318.92	$426.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $405.41 / $506.30 / $775.99	Facility		$405.41	$506.30	$775.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $441.74 / $441.74 / $441.74	Professional		$441.74	$441.74	$441.74