Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $349.86 / $349.86 / $449.82	Facility		$349.86	$349.86	$449.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $349.86 / $349.86 / $449.82	Facility		$349.86	$349.86	$449.82