Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $394.47 / $394.47 / $507.18	Facility		$394.47	$394.47	$507.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $394.47 / $394.47 / $507.18	Facility		$394.47	$394.47	$507.18