Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $250.55 / $250.55 / $322.14	Facility		$250.55	$250.55	$322.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $250.55 / $250.55 / $322.14	Facility		$250.55	$250.55	$322.14