Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.37 / $143.82 / $153.87	Professional		$125.37	$143.82	$153.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $123.48 / $166.40 / $199.12	Facility		$123.48	$166.40	$199.12