Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $136.22 / $160.13	Facility		$76.20	$136.22	$160.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $45.00	Professional		$35.00	$35.00	$45.00