Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $118.67 / $178.25 / $79,999.20	Facility		$118.67	$178.25	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.63 / $109.63 / $191.50	Facility		$109.63	$109.63	$191.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.52 / $119.69 / $126.31	Professional		$106.52	$119.69	$126.31