Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.20 / $229.40 / $230.58	Professional		$169.20	$229.40	$230.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $646.16 / $646.16 / $646.16	Facility		$646.16	$646.16	$646.16