Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.44 / $50.25 / $92.46	Facility		$35.44	$50.25	$92.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $80.00	Professional		$75.00	$75.00	$80.00