Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.77 / $157.69 / $189.75	Facility		$134.77	$157.69	$189.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $143.19 / $143.19 / $143.19	Professional		$143.19	$143.19	$143.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $399.73 / $399.73 / $399.73	Facility		$399.73	$399.73	$399.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.77 / $157.69 / $189.75	Facility		$134.77	$157.69	$189.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.19 / $143.19 / $143.19	Professional		$143.19	$143.19	$143.19