Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $138.04 / $169.82	Facility		$91.20	$138.04	$169.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $147.91 / $190.55	Facility		$91.20	$147.91	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54