Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $553.00 / $581.84 / $703.09	Professional		$553.00	$581.84	$703.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $624.89 / $624.89 / $2,944.73	Facility		$624.89	$624.89	$2,944.73