Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $163.88 / $163.88 / $1,537.38	Facility		$163.88	$163.88	$1,537.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $185.90 / $185.90 / $185.90	Professional		$185.90	$185.90	$185.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $107.73 / $161.24 / $188.94	Facility		$107.73	$161.24	$188.94