Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $228.42 / $238.89 / $265.64	Professional		$228.42	$238.89	$265.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $123.69 / $178.80 / $201.28	Facility		$123.69	$178.80	$201.28