Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $113.66 / $113.66 / $113.66	Professional		$113.66	$113.66	$113.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.35 / $79,999.20 / $79,999.20	Facility		$109.35	$79,999.20	$79,999.20