Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $121.88 / $212.30 / $305.45	Facility		$121.88	$212.30	$305.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $228.72 / $228.72 / $228.72	Professional		$228.72	$228.72	$228.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.91 / $192.66 / $305.45	Facility		$144.91	$192.66	$305.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $228.72 / $228.72 / $228.72	Professional		$228.72	$228.72	$228.72