Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $179.86 / $179.86 / $195.91	Facility		$179.86	$179.86	$195.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.25 / $239.25 / $239.25	Facility		$239.25	$239.25	$239.25