Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $229.09 / $275.42	Facility		$147.91	$229.09	$275.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $229.09 / $275.42	Facility		$147.91	$229.09	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42