Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.46 / $94.46 / $94.46	Facility		$94.46	$94.46	$94.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.22 / $79,999.20 / $79,999.20	Facility		$17.22	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.45 / $13.45 / $21.52	Facility		$13.45	$13.45	$21.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $13.45 / $13.45	Professional		$13.45	$13.45	$13.45