Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,057.04 / $4,113.35 / $5,361.39	Facility		$1,057.04	$4,113.35	$5,361.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,057.10 / $1,057.10 / $1,057.10	Professional		$1,057.10	$1,057.10	$1,057.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,029.40 / $4,113.35 / $5,361.39	Facility		$1,029.40	$4,113.35	$5,361.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,057.10 / $1,057.10 / $1,057.10	Professional		$1,057.10	$1,057.10	$1,057.10