Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $172.21 / $172.21 / $172.21	Professional		$172.21	$172.21	$172.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.93 / $157.80 / $174.20	Facility		$125.93	$157.80	$174.20