Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,038.16 / $1,038.16 / $2,966.18	Facility		$1,038.16	$1,038.16	$2,966.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,509.18 / $3,509.18 / $3,509.18	Facility		$3,509.18	$3,509.18	$3,509.18