Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.27 / $31.93 / $1,212.57	Facility		$7.27	$31.93	$1,212.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $82.86 / $82.86 / $82.86	Facility		$82.86	$82.86	$82.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.27 / $25.83 / $1,212.57	Facility		$7.27	$25.83	$1,212.57