Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $393.67 / $519.58 / $622.92	Facility		$393.67	$519.58	$622.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $470.24 / $470.24 / $470.24	Professional		$470.24	$470.24	$470.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,317.19 / $1,317.19 / $1,317.19	Facility		$1,317.19	$1,317.19	$1,317.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $393.67 / $519.58 / $622.92	Facility		$393.67	$519.58	$622.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $470.24 / $470.24 / $470.24	Professional		$470.24	$470.24	$470.24