Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,873.01 / $79,999.20 / $79,999.20	Facility		$1,873.01	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,163.33 / $2,163.33 / $5,122.75	Facility		$2,163.33	$2,163.33	$5,122.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,163.33 / $2,163.33 / $2,163.33	Professional		$2,163.33	$2,163.33	$2,163.33