Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $25.12 / $34.67	Facility		$16.98	$25.12	$34.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $21.88 / $34.67	Facility		$16.98	$21.88	$34.67