Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,020.15 / $1,200.18 / $1,920.29	Facility		$1,020.15	$1,200.18	$1,920.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $15.64 / $19.16	Facility		$14.45	$15.64	$19.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,614.07 / $3,614.07 / $4,878.99	Professional		$3,614.07	$3,614.07	$4,878.99