Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,969.24 / $1,969.24 / $2,531.88	Facility		$1,969.24	$1,969.24	$2,531.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,119.50 / $1,119.50 / $1,119.50	Professional		$1,119.50	$1,119.50	$1,119.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,969.24 / $1,969.24 / $2,531.88	Facility		$1,969.24	$1,969.24	$2,531.88