Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $192.00 / $263.11 / $310.08	Facility		$192.00	$263.11	$310.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $234.92 / $234.92 / $234.92	Professional		$234.92	$234.92	$234.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $668.96 / $668.96 / $668.96	Facility		$668.96	$668.96	$668.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.00 / $263.11 / $310.08	Facility		$192.00	$263.11	$310.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.92 / $234.92 / $234.92	Professional		$234.92	$234.92	$234.92