Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $156.87 / $401.76 / $716.41	Facility		$156.87	$401.76	$716.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $521.53 / $521.53 / $521.53	Professional		$521.53	$521.53	$521.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.57 / $80.44 / $505.24	Facility		$61.57	$80.44	$505.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $156.87 / $401.76 / $716.41	Facility		$156.87	$401.76	$716.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $521.53 / $521.53 / $521.53	Professional		$521.53	$521.53	$521.53