Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,172.27 / $1,172.27 / $1,507.21	Facility		$1,172.27	$1,172.27	$1,507.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,205.80 / $1,205.80 / $1,205.80	Professional		$1,205.80	$1,205.80	$1,205.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,172.27 / $1,172.27 / $1,507.21	Facility		$1,172.27	$1,172.27	$1,507.21