Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $668.80 / $1,288.80 / $1,764.60	Facility		$668.80	$1,288.80	$1,764.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,490.68 / $1,490.68 / $1,490.68	Professional		$1,490.68	$1,490.68	$1,490.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $668.80 / $1,219.68 / $1,764.60	Facility		$668.80	$1,219.68	$1,764.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,490.68 / $1,490.68 / $1,490.68	Professional		$1,490.68	$1,490.68	$1,490.68